Claim total
$29,748.73
base $155.66 · payer covered $23,798.98
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-04-06
- Stop
- 2017-04-06
The parties
- Patient
- patient Becki Yvonne Weimann
- Provider
- provider Leta Sipes
- Payer
- payer UnitedHealthcare
Record id
20189b2b-d97e-8e5e-002c-675d98accfb5