Claim total
$45,347.44
base $155.66 · payer covered $27,182.40
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2009-02-17
- Stop
- 2009-02-17
The parties
- Patient
- patient Agnes Dietrich
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
270ef1b8-bd71-e9bb-85a6-8767c31b750f