Claim total
$39,555.08
base $155.66 · payer covered $39,505.08
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-12-10
- Stop
- 2025-12-10
The parties
- Patient
- patient Merideth Sabrina Wyman
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1bb67376-9296-102b-b928-cf2d29161454