Claim total
$9,220.32
base $93.39 · payer covered $7,376.25
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-05-18
- Stop
- 2024-05-18
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-cb78-e81f23e54c04