Claim total
$40,450.29
base $155.66 · payer covered $40,400.29
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-03-24
- Stop
- 2019-03-24
The parties
- Patient
- patient Joie Lubowitz
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
361510b3-a9f5-9a93-4770-95775a13d0c6