Claim total
$7,122.19
base $155.66 · payer covered $7,072.19
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-10-04
- Stop
- 2023-10-04
The parties
- Patient
- patient Amanda Rheba Mitchell
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0363ed75-83f4-7675-0975-557076eea931