Claim total
$44,573.39
base $155.66 · payer covered $35,005.21
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-07-06
- Stop
- 2018-07-06
The parties
- Patient
- patient Kristin Hortensia Zulauf
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
0b7b85ac-350f-06ec-c845-42ac2804bbc2