Claim total
$5,756.40
base $155.66 · payer covered $5,756.40
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-23
- Stop
- 2023-01-23
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Jo Stiedemann
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-4187-07317923a1a2