Claim total
$29,108.85
base $155.66 · payer covered $23,287.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-04-21
- Stop
- 2025-04-21
The parties
- Patient
- patient Yung Keitha Mann
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
21d55a0e-d815-8203-c8ba-4295d05c12f3