Claim total
$5,072.93
base $155.66 · payer covered $4,058.35
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-05-10
- Stop
- 2021-05-10
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-76b2-f0aefca52ac5