Claim total
$50,112.64
base $155.66 · payer covered $50,112.64
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-03-20
- Stop
- 2021-03-20
The parties
- Patient
- patient Arlene Maurine Dibbert
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
147bb29a-9ad7-3264-02d6-884dd65ab686