Claim total
$35,932.67
base $155.66 · payer covered $22,002.89
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-01-26
- Stop
- 2020-01-26
The parties
- Patient
- patient Luetta Wehner
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
244398f5-3bec-3a89-8061-b2b484f724e7