Claim total
$13,410.64
base $155.66 · payer covered $13,360.64
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-12-03
- Stop
- 2016-12-03
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-c23e-6b36dc7ca496