Claim total
$32,956.86
base $155.66 · payer covered $16,117.71
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-10-28
- Stop
- 2020-10-28
The parties
- Patient
- patient Yasmin Wuckert
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1e226bcd-e5de-efe8-e2e8-4de8a7f26fb6