Claim total
$46,406.00
base $155.66 · payer covered $31,183.87
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-07-21
- Stop
- 2021-07-21
The parties
- Patient
- patient Sue Clorinda Gleichner
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
1569b433-cb14-321e-8441-b2f65e483a64