Claim total
$43,390.86
base $155.66 · payer covered $27,223.60
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-11-19
- Stop
- 2024-11-19
The parties
- Patient
- patient Jacquelin Leffler
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
1238e43a-68f7-e8e8-74df-9798b0df0ca8