Claim total
$48,173.08
base $155.66 · payer covered $37,988.71
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-02-25
- Stop
- 2020-02-25
The parties
- Patient
- patient Jacquelin Leffler
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
1238e43a-68f7-e8e8-4534-d825a9d68e45