Claim total
$10,109.58
base $155.66 · payer covered $9,959.58
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-10-12
- Stop
- 2022-10-12
The parties
- Patient
- patient Cecilia Botsford
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
046c8377-6cc1-c8f9-88a4-dc9b912ecb48