Claim total
$42,214.80
base $155.66 · payer covered $42,064.80
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-06-08
- Stop
- 2019-06-08
The parties
- Patient
- patient Rosaria Goyette
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
09b5cc0a-d660-4b4e-1261-e2de74fd9cd9