Claim total
$53,681.09
base $155.66 · payer covered $53,631.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-10-23
- Stop
- 2024-10-23
The parties
- Patient
- patient Adella Mitchell Erdman
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
37dacb37-2dca-f6a0-9de0-06e9cd4557b5