Claim total
$39,749.12
base $155.66 · payer covered $39,699.12
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-27
- Stop
- 2022-04-27
The parties
- Patient
- patient Ria Berge
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
083d4d1d-5f6d-c59b-18f6-eedbbd68f7d4