Claim total
$52,242.10
base $155.66 · payer covered $31,271.67
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-12
- Stop
- 2023-03-12
The parties
- Patient
- patient Ebonie Harris
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
2480865a-bd42-7445-21df-99d89bfeca7a