Claim total
$38,162.54
base $155.66 · payer covered $22,897.54
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-12-12
- Stop
- 2021-12-12
The parties
- Patient
- patient Katheryn Deedra Kautzer
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0a7fad02-5135-e160-8a7c-ead84bad1103