Claim total
$10,490.16
base $155.66 · payer covered $10,440.16
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-12-04
- Stop
- 2024-12-04
The parties
- Patient
- patient Amanda Rheba Mitchell
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0363ed75-83f4-7675-a971-9452df9ca217