Claim total
$36,298.15
base $155.66 · payer covered $36,248.15
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-04-16
- Stop
- 2025-04-16
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-6fbc-a0df40b503e1