Claim total
$41,689.35
base $155.66 · payer covered $32,185.09
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-11-15
- Stop
- 2023-11-15
The parties
- Patient
- patient Shira Taylor O'Connell
- Provider
- provider Julee Jones
- Payer
- payer UnitedHealthcare
Record id
2a8f629a-4321-59c6-8185-e72f7ac52147