Claim total
$46,797.72
base $155.66 · payer covered $37,438.18
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-07-31
- Stop
- 2019-07-31
The parties
- Patient
- patient Gerda Leslie Hagenes
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
21879068-ff65-6943-5db2-9e4d36326eec