Claim total
$7,722.84
base $155.66 · payer covered $5,011.88
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-03-07
- Stop
- 2023-03-07
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-bf7f-a3d17f1d30bd