Claim total
$48,011.84
base $155.66 · payer covered $47,961.84
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-01-06
- Stop
- 2026-01-06
The parties
- Patient
- patient Adah Kertzmann
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
342e9f11-a9b7-436c-51ed-869aa2a68c27