Claim total
$13,681.02
base $127.17 · payer covered $13,681.02
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-07-24
- Stop
- 2023-07-24
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-f8a3-d15d941c6280