Claim total
$55,017.62
base $155.66 · payer covered $42,847.70
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-14
- Stop
- 2017-01-14
The parties
- Patient
- patient Many Allison Thiel
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
1c4efcbe-1cf5-b1b9-888c-e61895de820a