Claim total
$40,641.83
base $155.66 · payer covered $40,606.83
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-01-07
- Stop
- 2026-01-07
The parties
- Patient
- patient Tamesha Lecia Wyman
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
391bc040-899c-a7be-62f0-074fb92042ec