Claim total
$38,504.67
base $155.66 · payer covered $29,637.34
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-02-20
- Stop
- 2016-02-20
The parties
- Patient
- patient Tamara Dorla Weimann
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
3a5e2ef0-e9eb-245d-5e55-fe7512578eda