Claim total
$12,519.60
base $155.66 · payer covered $5,077.72
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-07-19
- Stop
- 2024-07-19
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-a85c-07da41d0fb81