Claim total
$42,941.96
base $155.66 · payer covered $42,791.96
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-05-03
- Stop
- 2021-05-03
The parties
- Patient
- patient Marhta Thomasina Boyer
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
065783a1-5226-f91e-1140-06c0edd2a32a