Claim total
$43,440.04
base $155.66 · payer covered $34,752.04
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-03-29
- Stop
- 2018-03-29
The parties
- Patient
- patient Vanetta Sauer
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
22755349-7c44-88f6-5091-551195d0c664