Claim total
$15,484.76
base $93.39 · payer covered $12,387.81
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-03-21
- Stop
- 2025-03-21
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-e9ee-4a12f64cc74c