Claim total
$37,841.05
base $155.66 · payer covered $20,706.71
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-02-08
- Stop
- 2017-02-08
The parties
- Patient
- patient Yasmin Wuckert
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1e226bcd-e5de-efe8-5f2a-06c48787b634