Claim total
$12,897.56
base $155.66 · payer covered $12,847.56
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-05-22
- Stop
- 2021-05-22
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-3288-e872abc065f0