Claim total
$46,735.85
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-09-11
- Stop
- 2025-09-11
The parties
- Patient
- patient Estella Mirna Gislason
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
2c8b399e-e3cb-1b58-3078-836c83ce3c1c