Claim total
$41,393.39
base $155.66 · payer covered $41,243.39
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-01-02
- Stop
- 2021-01-02
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-4476-80ac4a3f3174