Claim total
$46,456.35
base $155.66 · payer covered $35,998.69
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-06-26
- Stop
- 2020-06-26
The parties
- Patient
- patient Kristin Hortensia Zulauf
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
0b7b85ac-350f-06ec-3c1a-2df82b5452ff