Claim total
$31,660.26
base $155.66 · payer covered $31,510.26
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-08-07
- Stop
- 2020-08-07
The parties
- Patient
- patient Fay Danyell Wilderman
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
310f7b88-3df4-237f-7264-4e470e2d82f2