Claim total
$43,561.53
base $155.66 · payer covered $33,682.83
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-21
- Stop
- 2023-01-21
The parties
- Patient
- patient Myrtice Kathlene White
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
23fa6ca1-e37e-f9c8-4569-606d5cabf17d