Claim total
$41,200.53
base $155.66 · payer covered $41,150.53
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-12-27
- Stop
- 2023-12-27
The parties
- Patient
- patient Ria Berge
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
083d4d1d-5f6d-c59b-677b-0f938ff4e8f3