Claim total
$53,362.58
base $155.66 · payer covered $53,212.58
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-01-14
- Stop
- 2024-01-14
The parties
- Patient
- patient Natacha Chi Blick
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
3482eb70-2081-c8cb-a47c-5c9514e72a78