Claim total
$13,215.68
base $127.17 · payer covered $13,215.68
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-11-16
- Stop
- 2023-11-16
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Alia Gaylord
- Care site
- care site MIDWEST HOME HEALTHCARE LLC
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-ecbe-cd7bb9f1be1b