Claim total
$51,024.34
base $155.66 · payer covered $26,958.20
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-06-24
- Stop
- 2018-06-24
The parties
- Patient
- patient Wanetta Son Armstrong
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
1ce1268a-76d8-0263-a046-f687fa710bf6