Claim total
$4,468.28
base $155.66 · payer covered $3,574.63
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-07-03
- Stop
- 2024-07-03
The parties
- Patient
- patient Cecilia Botsford
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
046c8377-6cc1-c8f9-805b-14535435019b