Claim total
$42,113.31
base $155.66 · payer covered $22,445.25
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-08-01
- Stop
- 2023-08-01
The parties
- Patient
- patient Jacquelin Leffler
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
1238e43a-68f7-e8e8-a858-5c3ecc9a665f