Claim total
$44,318.14
base $155.66 · payer covered $35,243.48
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-12-08
- Stop
- 2025-12-08
The parties
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
1be7d604-e5c9-4c1e-149b-586ebf0cf11c