Claim total
$57,228.09
base $155.66 · payer covered $30,954.99
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2007-04-10
- Stop
- 2007-04-10
The parties
- Patient
- patient Agnes Dietrich
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
270ef1b8-bd71-e9bb-e39f-1f5f6ff646ef