Claim total
$33,481.31
base $155.66 · payer covered $25,618.66
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-10-29
- Stop
- 2019-10-29
The parties
- Patient
- patient Herminia Evelyn Tillman
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
10e50578-2bab-6f42-f004-fe6f7e6d148e