Claim total
$31,929.41
base $155.66 · payer covered $31,879.41
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-04-23
- Stop
- 2016-04-23
The parties
- Patient
- patient Cara Twana Rohan
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
36e78c82-a2fb-ce3c-e86d-d48a85082f13