Claim total
$53,576.86
base $155.66 · payer covered $53,541.86
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-11-06
- Stop
- 2017-11-06
The parties
- Patient
- patient Kallie Jordan Sporer
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
0a66253b-4906-0aa6-261a-8182d04a0ce7