Claim total
$1,396.14
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-11-21
- Stop
- 2023-11-21
The parties
- Patient
- patient Cristina Caridad Salcedo
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
031e24ca-9978-b353-3ff4-b4ba23b72ae3