Claim total
$6,110.40
base $155.66 · payer covered $6,060.40
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-04
- Stop
- 2017-02-04
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-e9f0-8b2168783219