Claim total
$44,558.09
base $155.66 · payer covered $44,508.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-07-27
- Stop
- 2023-07-27
The parties
- Patient
- patient Marvis Love Keebler
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0aa35c19-5bf1-fbc8-c2cb-7f79f0b28e6b