Claim total
$155.66
base $155.66 · payer covered $105.66
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2001-08-15
- Stop
- 2001-08-15
The parties
- Patient
- patient Soledad Rocio Aguirre
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
060aa7a8-9653-5ae4-7da8-975c4f0ffd7a