Claim total
$8,620.09
base $155.66 · payer covered $8,585.09
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-14
- Stop
- 2023-01-14
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-e09d-e2c77851e443