Claim total
$45,193.64
base $155.66 · payer covered $45,193.64
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-05-11
- Stop
- 2017-05-11
The parties
- Patient
- patient Susie Denice Hilpert
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
07934052-3164-f1cb-1992-c22aaf87e492