Claim total
$6,172.99
base $155.66 · payer covered $6,172.99
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-08-11
- Stop
- 2025-08-11
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-5c43-96144525339a