Claim total
$978.26
base $155.66 · payer covered $928.26
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Fetus with chromosomal abnormality267253006
- Start
- 2008-03-08
- Stop
- 2008-03-08
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00decd7e-554a-447f-2b46-48cd49a677c2