Claim total
$9,304.30
base $155.66 · payer covered $6,401.57
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2021-12-23
- Stop
- 2021-12-23
The parties
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
06444eb9-3bbb-5546-08ed-3214e8d20c87