Claim total
$42,874.28
base $155.66 · payer covered $42,824.28
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-01-14
- Stop
- 2024-01-14
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-aece-2ab4bdfd9a3b