Claim total
$41,953.28
base $155.66 · payer covered $32,396.24
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-01-04
- Stop
- 2021-01-04
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
3a86b7c8-d29b-6af3-9369-07eb8c6951af