Claim total
$15,099.86
base $155.66 · payer covered $15,049.86
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-07-14
- Stop
- 2021-07-14
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-33cc-1b2150205d54