Claim total
$42,768.22
base $155.66 · payer covered $34,028.20
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-01-12
- Stop
- 2017-01-12
The parties
- Patient
- patient Vanetta Sauer
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
22755349-7c44-88f6-8d61-d8ab379a5fcc