Claim total
$4,249.70
base $93.39 · payer covered $4,199.70
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-10-24
- Stop
- 2022-10-24
The parties
- Patient
- patient Cecilia Botsford
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
046c8377-6cc1-c8f9-eb83-568e07f41136