Claim total
$48,568.57
base $155.66 · payer covered $38,854.86
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2018-12-14
- Stop
- 2018-12-14
The parties
- Patient
- patient Verda Mariette Ruecker
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
26263485-8712-cf88-f9df-0942e9364519