Claim total
$41,989.68
base $155.66 · payer covered $22,254.55
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-08-28
- Stop
- 2024-08-28
The parties
- Patient
- patient Laurette Clelia Kohler
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
371c9f05-7f68-f06c-2ed7-5bfc187cfc09