Claim total
$45,021.29
base $155.66 · payer covered $36,017.04
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-11-23
- Stop
- 2020-11-23
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-b5b6-45333bd3f4b7