Claim total
$47,528.54
base $155.66 · payer covered $24,860.74
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-07-18
- Stop
- 2021-07-18
The parties
- Patient
- patient Lourdes Ramona Alanis
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
3b355944-8d5f-fdc4-3021-a3c52a1ee48c