Claim total
$35,704.64
base $155.66 · payer covered $35,654.64
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-08-11
- Stop
- 2019-08-11
The parties
- Patient
- patient Louisa Hackett
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0ad40e63-c22d-73a7-3550-1e5423a3d943