Claim total
$51,172.41
base $155.66 · payer covered $40,937.93
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-01-13
- Stop
- 2022-01-13
The parties
- Patient
- patient Wonda Shields
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
33704fef-efb6-c12c-8102-78d01cc95d94