Claim total
$54,327.66
base $155.66 · payer covered $42,295.74
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-06-30
- Stop
- 2024-06-30
The parties
- Patient
- patient Lourdes Ramona Alanis
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
3b355944-8d5f-fdc4-f8b2-2f26e48d2b25