Claim total
$10,937.21
base $155.66 · payer covered $8,749.77
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-04-17
- Stop
- 2023-04-17
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Leta Sipes
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-84d1-abc6faf9ea93