Claim total
$25,704.63
base $155.66 · payer covered $25,554.63
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-04-27
- Stop
- 2025-04-27
The parties
- Patient
- patient Alexander Alene Hahn
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
17cf073a-0b9a-0cc7-9e25-435061f44d12