Claim total
$35,529.66
base $155.66 · payer covered $35,479.66
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-01-06
- Stop
- 2024-01-06
The parties
- Patient
- patient Berta María José Anaya
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1c7e06b6-7da5-69dd-62e6-7376b6ce10bf