Claim total
$3,883.80
base $155.66 · payer covered $2,084.22
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2026-09-14
- Stop
- 2026-09-14
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-0c1b-c5376362fe13