Claim total
$40,741.27
base $155.66 · payer covered $32,593.01
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-04-20
- Stop
- 2020-04-20
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-df4f-342ca8e59510