Claim total
$9,979.03
base $155.66 · payer covered $7,796.83
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-04-07
- Stop
- 2018-04-07
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
00decd7e-554a-447f-c3e2-b2aeba4a689e