Claim total
$44,162.68
base $155.66 · payer covered $35,143.75
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-10-21
- Stop
- 2020-10-21
The parties
- Patient
- patient Setsuko Bayer
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2096bc61-01be-46de-9d86-603ec7fbdc3b