Claim total
$41,509.96
base $155.66 · payer covered $32,041.57
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-11-13
- Stop
- 2021-11-13
The parties
- Patient
- patient Johnsie Tressie Conn
- Provider
- provider Lanora Schowalter
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
13f47f2e-4184-0fa2-bfbb-3e33e4d74438