Claim total
$46,419.09
base $155.66 · payer covered $25,257.02
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-09-15
- Stop
- 2021-09-15
The parties
- Patient
- patient Sharie Ginger Jacobson
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
219af15c-aacc-5a33-4bf8-9f3874468a16