Claim total
$39,646.64
base $155.66 · payer covered $30,550.93
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-03-20
- Stop
- 2019-03-20
The parties
- Patient
- patient Trisha Micha Rutherford
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
16cf6330-3914-e380-e57b-ab74a04d4e28