Claim total
$35,860.74
base $155.66 · payer covered $28,666.28
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-08-18
- Stop
- 2021-08-18
The parties
- Patient
- patient Angeles Terri Armstrong
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
366f800b-1cb3-096d-47ad-ee6e413dce43