Claim total
$10,153.01
base $155.66 · payer covered $10,103.01
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-09-21
- Stop
- 2022-09-21
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-76d1-adada632a582