Claim total
$43,029.87
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-07-24
- Stop
- 2017-07-24
The parties
- Patient
- patient Vonda Tamra Ziemann
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
37344a78-3652-b029-bae4-66eb712f4f00