Claim total
$36,019.98
base $155.66 · payer covered $17,955.61
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-02-18
- Stop
- 2022-02-18
The parties
- Patient
- patient Wei Leoma Bartoletti
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
244d6b00-ebfa-1c46-6a5b-26788a8724f7