Claim total
$40,700.50
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1987-02-04
- Stop
- 1987-02-04
The parties
- Patient
- patient Azalee Lura Koepp
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
20852a5c-dbef-c661-512e-9793bd31c75b