Claim total
$43,645.44
base $155.66 · payer covered $43,595.44
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-07-02
- Stop
- 2020-07-02
The parties
- Patient
- patient Leta Larisa Anderson
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1bc8e578-1607-f4cd-3aa0-6ef1e7554348