Claim total
$37,584.09
base $155.66 · payer covered $37,534.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-07-24
- Stop
- 2022-07-24
The parties
- Patient
- patient Adella Portia Wolf
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
1aecd3e0-487a-0af8-7efa-7db4d783ba22