Claim total
$4,249.70
base $93.39 · payer covered $4,249.70
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-08-23
- Stop
- 2025-08-23
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-ad6f-f298db3bc1e2