Claim total
$17,406.14
base $155.66 · payer covered $17,356.14
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-29
- Stop
- 2023-03-29
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-d722-9d85590b8868