Claim total
$41,895.16
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-10-19
- Stop
- 2025-10-19
The parties
- Patient
- patient Anisha Harber
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
3a07fb89-0020-0893-31de-9f0de2e978d6