Claim total
$33,269.68
base $155.66 · payer covered $25,449.34
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-08-01
- Stop
- 2025-08-01
The parties
- Patient
- patient Verda Mariette Ruecker
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
26263485-8712-cf88-9a32-4671ac096cb2