Claim total
$30,725.05
base $155.66 · payer covered $24,200.72
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-03-09
- Stop
- 2022-03-09
The parties
- Patient
- patient Gerda Leslie Hagenes
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
21879068-ff65-6943-6fe4-0eeb28ce2465