Claim total
$9,027.81
base $155.66 · payer covered $8,992.81
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-12-17
- Stop
- 2022-12-17
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-51ac-608d66589dca