Claim total
$51,728.62
base $155.66 · payer covered $27,380.77
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2012-02-25
- Stop
- 2012-02-25
The parties
- Patient
- patient Violet Kary Bashirian
- Provider
- provider Evia Huel
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
332c0315-3384-9625-6dfa-9786cc7e85a9