Claim total
$41,608.81
base $155.66 · payer covered $41,608.81
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-03-05
- Stop
- 2021-03-05
The parties
- Patient
- patient Carmelita Farrah Dickens
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
37c463f3-d1db-fbc4-5613-b79241c8ffb9