Claim total
$10,937.21
base $155.66 · payer covered $10,902.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-04
- Stop
- 2023-03-04
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-d395-1a3825c260b9