Claim total
$12,864.90
base $155.66 · payer covered $12,814.90
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-11
- Stop
- 2023-01-11
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-61de-0911a622f8bb