Claim total
$1,406.16
base $155.66 · payer covered $843.70
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2025-03-25
- Stop
- 2025-03-25
The parties
- Patient
- patient Cyndi Tromp
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
01936333-6290-e7a2-3e42-c81256fa4b07