Claim total
$58,303.43
base $155.66 · payer covered $45,476.34
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-12-15
- Stop
- 2020-12-15
The parties
- Patient
- patient Herminia Evelyn Tillman
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
10e50578-2bab-6f42-d65f-07671c3c8c4d