Claim total
$52,490.72
base $155.66 · payer covered $36,743.51
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-11-15
- Stop
- 2020-11-15
The parties
- Patient
- patient Dung Letha Wiegand
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
375938f9-6f2b-c55d-4691-f6982f668de5