Claim total
$39,889.57
base $155.66 · payer covered $39,839.57
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-04-15
- Stop
- 2020-04-15
The parties
- Patient
- patient Ria Berge
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
083d4d1d-5f6d-c59b-6ff3-97c0687aad21