Claim total
$4,896.89
base $155.66 · payer covered $4,846.89
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-03-27
- Stop
- 2021-03-27
The parties
- Patient
- patient Clarine Nana Kiehn
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
05754ab1-1584-1eea-83a8-c3f04672c386