Claim total
$38,330.79
base $155.66 · payer covered $38,280.79
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1996-09-18
- Stop
- 1996-09-18
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-ddcc-67de8d0cae48