Claim total
$5,249.07
base $155.66 · payer covered $4,199.25
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-09
- Stop
- 2023-04-09
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-3987-87367e2277b2