Claim total
$9,917.02
base $155.66 · payer covered $9,867.02
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-07-17
- Stop
- 2021-07-17
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-4c7d-3976c3e99d1d