Claim total
$39,681.96
base $155.66 · payer covered $24,627.37
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-10-05
- Stop
- 2019-10-05
The parties
- Patient
- patient María José Vargas
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Cigna Health
Record id
13ea9f41-3249-238d-d207-30a432289957