Claim total
$10,937.21
base $155.66 · payer covered $10,787.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-11-05
- Stop
- 2016-11-05
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-6a3a-37f7527f0f34