Claim total
$34,349.83
base $155.66 · payer covered $34,199.83
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-26
- Stop
- 2023-03-26
The parties
- Patient
- patient Alexander Alene Hahn
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
17cf073a-0b9a-0cc7-118b-d3544253626e