Claim total
$36,150.30
base $155.66 · payer covered $18,033.78
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-08-12
- Stop
- 2018-08-12
The parties
- Patient
- patient Kala Margorie Orn
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
276d3050-5024-a041-a1ec-84b81ab856c1