Claim total
$36,006.63
base $155.66 · payer covered $18,343.80
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-08-17
- Stop
- 2019-08-17
The parties
- Patient
- patient Lizette Ardella Dicki
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
31c17b80-43b3-1002-d04a-2c0c199a8994