Claim total
$12,171.11
base $155.66 · payer covered $9,736.89
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-01-31
- Stop
- 2024-01-31
The parties
- Patient
- patient Cecilia Botsford
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
046c8377-6cc1-c8f9-aff0-fecbbe28181b