Claim total
$31,968.23
base $155.66 · payer covered $22,377.76
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-07-07
- Stop
- 2024-07-07
The parties
- Patient
- patient Alline Tilda Daugherty
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
169ee930-05cf-aa0a-fa47-7971dd687f7c