Claim total
$40,496.25
base $155.66 · payer covered $40,446.25
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-09-02
- Stop
- 2025-09-02
The parties
- Patient
- patient Shanon Bosco
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2a5ad0f4-e50c-87be-209f-b4af04f4eb29