Claim total
$40,404.90
base $155.66 · payer covered $32,323.92
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-12-22
- Stop
- 2023-12-22
The parties
- Patient
- patient Kirstin Caryn Waelchi
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
36334c94-5ccd-5bbe-ce5f-5400ea65c140