Claim total
$57,047.58
base $155.66 · payer covered $45,630.16
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-06-09
- Stop
- 2025-06-09
The parties
- Patient
- patient Ka Jacobson
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
255c6acb-9d44-0232-866f-b124a26ee4b7