Claim total
$4,249.70
base $93.39 · payer covered $2,549.82
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-11-02
- Stop
- 2023-11-02
The parties
- Patient
- patient Cristina Caridad Salcedo
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
031e24ca-9978-b353-84ef-61f0c25359a7