Claim total
$9,082.75
base $155.66 · payer covered $9,082.75
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-07-30
- Stop
- 2020-07-30
The parties
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
06444eb9-3bbb-5546-f7a7-55b17103864c