Claim total
$34,045.02
base $155.66 · payer covered $33,995.02
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-11-06
- Stop
- 2024-11-06
The parties
- Patient
- patient Amanda Rheba Mitchell
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0363ed75-83f4-7675-e995-a3e5b2240f3f