Claim total
$42,475.49
base $155.66 · payer covered $33,980.40
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-07-25
- Stop
- 2018-07-25
The parties
- Patient
- patient Setsuko Bayer
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2096bc61-01be-46de-5a0f-31f0e91ece2b