Claim total
$8,502.71
base $155.66 · payer covered $6,802.17
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-07-04
- Stop
- 2018-07-04
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Floyd Toy
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-b99d-12c27984183e