Claim total
$45,129.33
base $155.66 · payer covered $44,979.33
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-07-14
- Stop
- 2021-07-14
The parties
- Patient
- patient Isa Bosco
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
231aa787-d919-ab63-15b0-19d48b4371a0