Claim total
$33,546.75
base $155.66 · payer covered $33,496.75
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-08-24
- Stop
- 2022-08-24
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-cde9-7128e2662f5d