Claim total
$52,697.44
base $155.66 · payer covered $27,962.07
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-03-25
- Stop
- 2016-03-25
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-cce5-5cc8-ed78ac06777e