Claim total
$38,012.84
base $155.66 · payer covered $29,697.44
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-10-12
- Stop
- 2018-10-12
The parties
- Patient
- patient Tanesha Marla Toy
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
1fb7a994-e4f9-240a-2712-d0589eb7a7a4