Claim total
$41,676.33
base $155.66 · payer covered $33,341.07
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2019-03-17
- Stop
- 2019-03-17
The parties
- Patient
- patient Eda So Mante
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
2a79084b-df5c-41f9-6a01-ce3d626111f4