Claim total
$39,168.67
base $155.66 · payer covered $31,334.95
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2015-10-26
- Stop
- 2015-10-26
The parties
- Patient
- patient Elena Shaunna Volkman
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
2bd6134b-a178-5d14-eb74-bd1f7e44129c