Claim total
$48,694.39
base $155.66 · payer covered $37,789.11
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2015-01-14
- Stop
- 2015-01-14
The parties
- Patient
- patient Jeffie Vivan Lowe
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
357b1f09-8ef7-8091-ac90-65a709151df2