Claim total
$39,140.82
base $155.66 · payer covered $26,438.12
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-10-18
- Stop
- 2025-10-18
The parties
- Patient
- patient Verdie Sawayn
- Provider
- provider Daryl Farrell
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Cigna Health
Record id
0f440d76-42c8-e431-a94d-a544b01de3b6