Claim total
$39,294.28
base $155.66 · payer covered $39,244.28
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-07-16
- Stop
- 2016-07-16
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-7c9c-19c5d53681ef