Claim total
$44,509.54
base $155.66 · payer covered $29,033.72
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-01-24
- Stop
- 2018-01-24
The parties
- Patient
- patient Lenna Floretta Johns
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
19432449-afef-e532-ddda-f78472894a2c