Claim total
$37,335.08
base $155.66 · payer covered $19,129.33
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-04-06
- Stop
- 2018-04-06
The parties
- Patient
- patient Wei Leoma Bartoletti
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
244d6b00-ebfa-1c46-f9d7-34233e1b9961