Claim total
$47,608.21
base $155.66 · payer covered $47,558.21
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-08-10
- Stop
- 2022-08-10
The parties
- Patient
- patient Adella Mitchell Erdman
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
37dacb37-2dca-f6a0-59ac-e9134aa2f4aa