Claim total
$10,345.95
base $93.39 · payer covered $10,295.95
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-10
- Stop
- 2023-04-10
The parties
- Patient
- patient Amanda Rheba Mitchell
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0363ed75-83f4-7675-d67d-684f9eb15b98