Claim total
$12,586.96
base $155.66 · payer covered $12,536.96
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-04-01
- Stop
- 2020-04-01
The parties
- Patient
- patient Deirdre Shannon Hayes
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0194ec83-bb8c-3a71-f673-ba1d1be89f78