Claim total
$57,341.80
base $155.66 · payer covered $57,191.80
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-04-07
- Stop
- 2025-04-07
The parties
- Patient
- patient Amiee Maurine McClure
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2702dda1-ef74-3a2a-43a1-a4f6661d82ce