Claim total
$15,484.76
base $93.39 · payer covered $12,387.81
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-27
- Stop
- 2023-03-27
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-77f4-88f5a3835273