Claim total
$33,561.61
base $155.66 · payer covered $23,493.12
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-09-23
- Stop
- 2022-09-23
The parties
- Patient
- patient Carmelita Farrah Dickens
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
37c463f3-d1db-fbc4-3543-1c1e35ae580f