Claim total
$12,215.40
base $155.66 · payer covered $12,165.40
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-03-09
- Stop
- 2024-03-09
The parties
- Patient
- patient Gita Pei Mraz
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
01d312ef-e970-710c-ef8c-5733b71a71d9