Claim total
$10,216.11
base $155.66 · payer covered $10,216.11
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-04-20
- Stop
- 2018-04-20
The parties
- Patient
- patient Cristina Caridad Salcedo
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
031e24ca-9978-b353-eb4a-bcfb4d8c59ce