Claim total
$56,062.57
base $155.66 · payer covered $44,850.06
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-04-09
- Stop
- 2020-04-09
The parties
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
06444eb9-3bbb-5546-a65e-7ab4cfcee902