Claim total
$10,937.21
base $155.66 · payer covered $10,937.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-07-05
- Stop
- 2021-07-05
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-9fc5-d400448d22dc