Claim total
$39,972.53
base $155.66 · payer covered $31,760.55
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-02-28
- Stop
- 2024-02-28
The parties
- Patient
- patient Gerda Leslie Hagenes
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
21879068-ff65-6943-2e7c-ba0c881ab880