Claim total
$27,923.84
base $155.66 · payer covered $21,172.66
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-11
- Stop
- 2017-01-11
The parties
- Patient
- patient Tyra Na Bosco
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
12999fea-4e2a-27bb-82a0-758c38b665ef