Claim total
$7,271.25
base $155.66 · payer covered $7,221.25
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-11-16
- Stop
- 2022-11-16
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-9b7a-119855cf050c