Claim total
$50,914.42
base $155.66 · payer covered $50,864.42
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-02-22
- Stop
- 2025-02-22
The parties
- Patient
- patient Berta María José Anaya
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1c7e06b6-7da5-69dd-0cbb-f83645a032db