Claim total
$39,522.70
base $155.66 · payer covered $39,472.70
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-07-14
- Stop
- 2022-07-14
The parties
- Patient
- patient Lea Edwina Hand
- Provider
- provider Damien Mante
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1a0b0fe5-5cd2-3c13-3319-e8a22e875598