Claim total
$17,585.99
base $155.66 · payer covered $17,585.99
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-02-04
- Stop
- 2023-02-05
The parties
- Patient
- patient Corrina Leontine Smith
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03b48c3f-9d97-2f75-57c5-b2084877ab95