Claim total
$38,601.89
base $155.66 · payer covered $38,551.89
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-08-18
- Stop
- 2016-08-18
The parties
- Patient
- patient Marya Laronda Hand
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
23751e2f-eb63-35d9-b154-e9128695915b