Claim total
$43,055.37
base $155.66 · payer covered $43,005.37
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-08
- Stop
- 2023-01-08
The parties
- Patient
- patient Gilda Estell Emard
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1d039546-6fd0-d85e-757e-aa563dc74d3f