Claim total
$5,589.05
base $155.66 · payer covered $4,471.25
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-06-12
- Stop
- 2021-06-12
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
00decd7e-554a-447f-b010-a6b80d1b3dac