Claim total
$38,764.14
base $155.66 · payer covered $31,011.31
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2016-07-31
- Stop
- 2016-07-31
The parties
- Patient
- patient Mao Irmgard Rempel
- Provider
- provider Julee Jones
- Payer
- payer UnitedHealthcare
Record id
271af137-6ac7-08bf-78c9-1d797fc6ff6f