Claim total
$42,300.35
base $155.66 · payer covered $42,265.35
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-11-24
- Stop
- 2021-11-24
The parties
- Patient
- patient Tamesha Lecia Wyman
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
391bc040-899c-a7be-9fe5-0ecf504d3356