Claim total
$45,951.12
base $155.66 · payer covered $45,951.12
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-10-22
- Stop
- 2017-10-22
The parties
- Patient
- patient Mao Irmgard Rempel
- Provider
- provider Julee Jones
- Payer
- payer UnitedHealthcare
Record id
271af137-6ac7-08bf-dd28-38e1a82aa046