Claim total
$10,262.57
base $155.66 · payer covered $10,212.57
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-12-14
- Stop
- 2022-12-14
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-cad8-a0677c144810