Claim total
$12,772.08
base $155.66 · payer covered $12,722.08
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-18
- Stop
- 2017-02-18
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-6d0c-5b046a0c1db3