Claim total
$12,489.03
base $155.66 · payer covered $3,837.02
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-10-13
- Stop
- 2023-10-13
The parties
- Patient
- patient Cristina Caridad Salcedo
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
031e24ca-9978-b353-9612-398fb9d62f45