Claim total
$38,723.93
base $155.66 · payer covered $38,673.93
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-07-17
- Stop
- 2018-07-17
The parties
- Patient
- patient Sandee Carma Bayer
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
36c2ae21-205d-6aeb-1161-8763c1080740