Claim total
$5,097.03
base $155.66 · payer covered $4,077.63
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-09-14
- Stop
- 2023-09-14
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Liz Kozey
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-ba75-86048208df88