Claim total
$53,699.41
base $155.66 · payer covered $29,289.64
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-02-13
- Stop
- 2023-02-13
The parties
- Patient
- patient Rosenda Wyman
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
213e5519-4c28-300e-50f7-37ec781dea7c