Claim total
$35,851.91
base $155.66 · payer covered $17,854.76
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-01-08
- Stop
- 2018-01-08
The parties
- Patient
- patient Erna Gayla Mayert
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
30cfe8d1-eb95-8f71-efdd-fc96f970e086