Claim total
$10,242.29
base $155.66 · payer covered $7,027.44
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-03-21
- Stop
- 2022-03-21
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Burton O'Conner
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-ffdb-f36ff403020b