Claim total
$32,965.12
base $155.66 · payer covered $32,915.12
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-06-12
- Stop
- 2018-06-12
The parties
- Patient
- patient Shanon Bosco
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2a5ad0f4-e50c-87be-3b77-9045143f0954