Claim total
$67,900.04
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1982-12-24
- Stop
- 1982-12-24
The parties
- Patient
- patient Ramonita Padberg
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
32bc176d-7d6d-f87b-4192-e31c694a7f83