Claim total
$42,313.71
base $155.66 · payer covered $42,163.71
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1984-08-01
- Stop
- 1984-08-01
The parties
- Patient
- patient Azalee Lura Koepp
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
20852a5c-dbef-c661-deaa-2b6935b335e5