Claim total
$4,701.43
base $155.66 · payer covered $2,594.75
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-06-06
- Stop
- 2018-06-06
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Marcus Douglas
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-d8be-23489b9cce1f