Claim total
$42,544.96
base $155.66 · payer covered $42,544.96
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-01-24
- Stop
- 2022-01-24
The parties
- Patient
- patient Luana Ilana Effertz
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
086bd61a-213a-915b-2396-2840ff1998ef