Claim total
$6,175.08
base $155.66 · payer covered $6,125.08
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-10-04
- Stop
- 2025-10-04
The parties
- Patient
- patient Angele Khalilah Kuphal
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
044947be-396f-8eb7-6d0e-c10a273a5704