Claim total
$5,290.88
base $155.66 · payer covered $4,232.71
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-27
- Stop
- 2023-04-27
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Floyd Toy
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-512c-e60cbde87e9b