Claim total
$52,242.68
base $155.66 · payer covered $36,138.53
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-05-15
- Stop
- 2016-05-15
The parties
- Patient
- patient Lourdes Ramona Alanis
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
3b355944-8d5f-fdc4-c119-bf9b7c5373bf