Claim total
$40,875.41
base $155.66 · payer covered $32,513.94
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-01-08
- Stop
- 2024-01-08
The parties
- Patient
- patient Luana Ilana Effertz
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
086bd61a-213a-915b-1579-3d19557f2d8f