Claim total
$39,624.40
base $155.66 · payer covered $39,574.40
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-04-22
- Stop
- 2026-04-22
The parties
- Patient
- patient Megan Quinn Hoppe
- Provider
- provider Pedro Effertz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
39c37fd3-9ae6-8a7f-0489-26ed476dcef1