Claim total
$978.26
base $155.66 · payer covered $928.26
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Blighted ovum35999006
- Start
- 2000-05-24
- Stop
- 2000-05-24
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
01e64c71-bb1e-2212-438f-8f650f62ed62