Claim total
$44,739.69
base $155.66 · payer covered $34,625.35
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-02-04
- Stop
- 2021-02-04
The parties
- Patient
- patient Wonda Shields
- Provider
- provider Silvana Weber
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
33704fef-efb6-c12c-54b7-e34936144e36