Claim total
$15,484.67
base $155.66 · payer covered $15,484.67
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-12-26
- Stop
- 2020-12-26
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
00decd7e-554a-447f-7fc0-ba70d560232e