Claim total
$49,394.47
base $155.66 · payer covered $32,107.54
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-01-24
- Stop
- 2022-01-24
The parties
- Patient
- patient Valery Alise O'Connell
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
1a752e23-12e2-ba55-1b14-50355163ff1f