Claim total
$39,892.63
base $155.66 · payer covered $31,499.84
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-09-12
- Stop
- 2022-09-12
The parties
- Patient
- patient Yung Keitha Mann
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
21d55a0e-d815-8203-18a1-d548a048c206