Claim total
$10,754.56
base $155.66 · payer covered $8,288.51
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-05-07
- Stop
- 2024-05-07
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-dcc0-a63007fc6493