Claim total
$40,315.45
base $155.66 · payer covered $40,265.45
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-10-08
- Stop
- 2022-10-08
The parties
- Patient
- patient Berta María José Anaya
- Provider
- provider Ken Hane
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1c7e06b6-7da5-69dd-a43a-9fbdfa02d948