Claim total
$5,623.58
base $155.66 · payer covered $5,623.58
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-07-21
- Stop
- 2026-07-21
The parties
- Patient
- patient Cyndi Tromp
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
01936333-6290-e7a2-586a-a62e36913570