Claim total
$51,296.18
base $155.66 · payer covered $27,121.32
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-07-14
- Stop
- 2023-07-14
The parties
- Patient
- patient Anjelica Phebe Murphy
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
103d8b63-825b-6621-33fc-4ff14f07643b