Claim total
$46,309.37
base $155.66 · payer covered $46,159.37
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1985-08-14
- Stop
- 1985-08-14
The parties
- Patient
- patient Azalee Lura Koepp
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
20852a5c-dbef-c661-d9c9-3fe16eb78dfe