Claim total
$45,177.49
base $155.66 · payer covered $45,127.49
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-08-02
- Stop
- 2022-08-02
The parties
- Patient
- patient Opal Bethel Mills
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
39143edf-d918-3bcf-89c4-696ed5e2ec49