Claim total
$29,684.46
base $155.66 · payer covered $23,747.58
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-12-26
- Stop
- 2022-12-26
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Jo Stiedemann
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-9bd5-7490ad37a48b