Claim total
$5,667.87
base $155.66 · payer covered $5,617.87
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-11-29
- Stop
- 2023-11-29
The parties
- Patient
- patient Amanda Rheba Mitchell
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0363ed75-83f4-7675-39d7-7ff4e618a56c