Claim total
$41,049.22
base $155.66 · payer covered $20,973.13
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-07-02
- Stop
- 2019-07-02
The parties
- Patient
- patient Ellan Ingrid McKenzie
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
13775e5f-c5c8-ff64-eb83-e4dc05a019cf