Claim total
$27,863.32
base $155.66 · payer covered $27,813.32
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-11-03
- Stop
- 2018-11-03
The parties
- Patient
- patient Berta María José Anaya
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1c7e06b6-7da5-69dd-9fa3-4fb29c0e7499