Claim total
$39,877.08
base $155.66 · payer covered $39,827.08
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-11
- Stop
- 2022-04-11
The parties
- Patient
- patient Assunta Ferry
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
3acf70ac-a702-cd75-7591-c9e0f9153fcc