Claim total
$44,754.91
base $155.66 · payer covered $44,704.91
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-07-10
- Stop
- 2021-07-10
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-e4fb-64eca87f1fdb