Claim total
$1,396.14
base $155.66 · payer covered $1,116.91
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-14
- Stop
- 2022-04-14
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Harold Hagenes
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-99cd-a1ce79f29f5e