Claim total
$37,263.98
base $155.66 · payer covered $18,702.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-01-27
- Stop
- 2021-01-27
The parties
- Patient
- patient Harriett Diane Bruen
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
0d29cff3-fcf0-18ce-b5f7-61ad18780efc