Claim total
$14,152.37
base $155.66 · payer covered $14,102.37
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-01-08
- Stop
- 2020-01-08
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-ae77-97dc2cabcb83