Claim total
$2,857.49
base $155.66 · payer covered $2,285.99
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-06-04
- Stop
- 2024-06-04
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-4320-e3438ac9a4d1