Claim total
$32,214.78
base $155.66 · payer covered $15,672.48
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-08-31
- Stop
- 2016-08-31
The parties
- Patient
- patient Harriett Diane Bruen
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0d29cff3-fcf0-18ce-2066-50360e6f634e