Claim total
$39,107.29
base $155.66 · payer covered $22,900.76
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-07-05
- Stop
- 2020-07-05
The parties
- Patient
- patient Ebonie Harris
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2480865a-bd42-7445-c1d4-d473f472cf9d