Claim total
$30,895.25
base $155.66 · payer covered $30,845.25
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-02-22
- Stop
- 2018-02-22
The parties
- Patient
- patient Dusti Carmen Cremin
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0fb29067-0b92-84ae-0452-867b753dce0d