Claim total
$29,189.67
base $155.66 · payer covered $17,282.78
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-08-11
- Stop
- 2019-08-11
The parties
- Patient
- patient Lourdes Ramona Alanis
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
3b355944-8d5f-fdc4-f6ff-00eac188bebf