Claim total
$32,757.64
base $155.66 · payer covered $25,995.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-03-20
- Stop
- 2017-03-20
The parties
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
1be7d604-e5c9-4c1e-4bae-1176939bb46e