Claim total
$11,274.63
base $93.39 · payer covered $9,019.70
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-04-02
- Stop
- 2022-04-02
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Trinity Mraz
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-f4b5-61a9e50e03b5