Claim total
$47,403.01
base $155.66 · payer covered $47,353.01
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-12-12
- Stop
- 2016-12-12
The parties
- Patient
- patient Ka Jacobson
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
255c6acb-9d44-0232-ee33-e6c1b50196ba