Claim total
$12,493.13
base $155.66 · payer covered $9,994.50
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-06-02
- Stop
- 2018-06-02
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-e6f5-eba6f97a97ad