Claim total
$47,676.92
base $155.66 · payer covered $26,625.25
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-12-14
- Stop
- 2024-12-14
The parties
- Patient
- patient Lizette Ardella Dicki
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
31c17b80-43b3-1002-b250-ac69962cb038