Claim total
$53,429.58
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-05-08
- Stop
- 2017-05-08
The parties
- Patient
- patient Jimmie Honey Cummerata
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
272fac88-009d-4e15-d5e2-8b30c6437bce