Claim total
$42,426.28
base $155.66 · payer covered $32,774.63
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2021-11-27
- Stop
- 2021-11-27
The parties
- Patient
- patient Myrtice Kathlene White
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
23fa6ca1-e37e-f9c8-1dbe-4ec3f819bd4d