Claim total
$1,513.25
base $155.66 · payer covered $1,513.25
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-09-02
- Stop
- 2025-09-02
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-22b2-7a2f72f3be72