Claim total
$32,722.08
base $155.66 · payer covered $32,672.08
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-08-11
- Stop
- 2018-08-11
The parties
- Patient
- patient America Bernita Cronin
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0d047f1f-2497-6e70-dc61-97afb2c3481c