Claim total
$38,642.65
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1993-05-03
- Stop
- 1993-05-03
The parties
- Patient
- patient Candyce Isabel Gutkowski
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
32da48b4-09cc-d935-2c17-5d91e4f9a586