Claim total
$43,342.98
base $155.66 · payer covered $43,192.98
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-04-01
- Stop
- 2019-04-01
The parties
- Patient
- patient Sabine Starr Pacocha
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1db13722-5268-669f-990a-d0e8e3c64791