Claim total
$13,279.88
base $155.66 · payer covered $13,279.88
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-01-18
- Stop
- 2021-01-18
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-d140-6b7561c5650b