Claim total
$31,821.68
base $155.66 · payer covered $25,457.35
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2017-07-30
- Stop
- 2017-07-30
The parties
- Patient
- patient Eda So Mante
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
2a79084b-df5c-41f9-3c47-f568ced4c637