Claim total
$49,424.78
base $155.66 · payer covered $49,389.78
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-11-01
- Stop
- 2023-11-01
The parties
- Patient
- patient Adella Mitchell Erdman
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
37dacb37-2dca-f6a0-8817-0606653deffb