Claim total
$38,543.97
base $155.66 · payer covered $38,493.97
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-08-09
- Stop
- 2025-08-09
The parties
- Patient
- patient Angele Khalilah Kuphal
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
044947be-396f-8eb7-b806-524eb8a7f933