Claim total
$978.26
base $155.66 · payer covered $978.26
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Complication occurring during pregnancy609496007
- Start
- 2001-05-02
- Stop
- 2001-05-02
The parties
- Patient
- patient Marilynn Jaimie Pouros
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0126af27-a469-d3f6-d629-bf58325bd6cc