Claim total
$16,676.93
base $155.66 · payer covered $16,676.93
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-07
- Stop
- 2023-01-08
The parties
- Patient
- patient Corrina Leontine Smith
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03b48c3f-9d97-2f75-2525-f1586acef47b