Claim total
$40,520.08
base $155.66 · payer covered $20,995.83
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-03-06
- Stop
- 2026-03-06
The parties
- Patient
- patient Felicita Tamatha Olson
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
1163dae7-aced-cce5-2ea9-aa966ab87055