Claim total
$21,549.92
base $155.66 · payer covered $17,239.93
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-05-15
- Stop
- 2023-05-15
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Burton O'Conner
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-108e-0d86a0014490