Claim total
$37,552.12
base $155.66 · payer covered $37,552.12
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-25
- Stop
- 2023-03-25
The parties
- Patient
- patient Rosaria Goyette
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
09b5cc0a-d660-4b4e-1a12-f653f0eae53f