Claim total
$39,904.72
base $155.66 · payer covered $39,798.11
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-08-28
- Stop
- 2021-08-28
The parties
- Patient
- patient Caroyln Aura O'Keefe
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1b6bd1af-c430-b2c8-ddc3-c98505a89439