Claim total
$40,982.10
base $155.66 · payer covered $40,832.10
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-05-31
- Stop
- 2023-05-31
The parties
- Patient
- patient Megan Quinn Hoppe
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
39c37fd3-9ae6-8a7f-1948-06c52be3cbaa