Claim total
$43,494.49
base $155.66 · payer covered $22,790.29
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-12-19
- Stop
- 2021-12-19
The parties
- Patient
- patient Ebonie Harris
- Provider
- provider Odessa Schamberger
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2480865a-bd42-7445-ad65-e18b66162529