Claim total
$4,249.70
base $93.39 · payer covered $3,399.76
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-03-16
- Stop
- 2026-03-16
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Jo Stiedemann
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-ecbf-c710d8c4de07