Claim total
$43,751.79
base $155.66 · payer covered $23,280.68
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-02-23
- Stop
- 2018-02-23
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-fa40-33d52f0f6eb5