Claim total
$14,705.58
base $155.66 · payer covered $14,655.58
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-12-11
- Stop
- 2019-12-11
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-bbb2-ce15e2446d2c