Claim total
$6,348.69
base $155.66 · payer covered $6,348.69
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-10-22
- Stop
- 2020-10-22
The parties
- Provider
- provider Silvana Weber
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
06444eb9-3bbb-5546-cc69-7fd3a381ea12