Claim total
$14,307.63
base $155.66 · payer covered $7,366.28
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2024-08-09
- Stop
- 2024-08-09
The parties
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Cigna Health
Record id
02e77898-0a14-d00d-9bdb-d9bfde8000ee