Claim total
$29,664.53
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-02-19
- Stop
- 2022-02-19
The parties
- Patient
- patient Bobette Stormy Murray
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
1903ddc4-127d-9650-9add-adc967e69f68