Claim total
$37,695.12
base $155.66 · payer covered $20,181.60
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-12-19
- Stop
- 2016-12-19
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-9cac-777b533948b4