Claim total
$49,359.19
base $155.66 · payer covered $49,359.19
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-04-02
- Stop
- 2025-04-02
The parties
- Patient
- patient Tyra Na Bosco
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
12999fea-4e2a-27bb-e39c-1b3a5dc4d16d