Claim total
$32,058.14
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2013-09-09
- Stop
- 2013-09-09
The parties
- Patient
- patient Haley Champlin
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2934bf75-9350-c6bc-c517-439ca3064441