Claim total
$27,734.64
base $155.66 · payer covered $14,233.39
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-07-10
- Stop
- 2020-07-10
The parties
- Patient
- patient Shavonne Zboncak
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
20c58944-4778-30e8-c337-639607df366c