Claim total
$47,264.26
base $155.66 · payer covered $47,214.26
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2015-10-11
- Stop
- 2015-10-11
The parties
- Patient
- patient Caterina Shayna Sauer
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
39bb677e-ea1c-358c-b6b1-6490c51cfe2d