Claim total
$5,413.19
base $155.66 · payer covered $5,413.19
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-01
- Stop
- 2023-04-02
The parties
- Patient
- patient Corrina Leontine Smith
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
03b48c3f-9d97-2f75-1a00-e2853a24c0bf