Claim total
$38,979.82
base $155.66 · payer covered $24,135.87
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-07-26
- Stop
- 2020-07-26
The parties
- Patient
- patient Lourdes Ramona Alanis
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
3b355944-8d5f-fdc4-d0ba-0d9d507b276b