Claim total
$7,712.15
base $155.66 · payer covered $5,003.32
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-02-20
- Stop
- 2023-02-20
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Pasquale Grimes
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-24e4-170687b85565