Claim total
$42,726.92
base $155.66 · payer covered $34,181.54
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-11-28
- Stop
- 2020-11-28
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-dc59-be6077b8326f