Claim total
$45,314.57
base $155.66 · payer covered $23,588.39
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-12-24
- Stop
- 2025-12-24
The parties
- Patient
- patient Athena Oberbrunner
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
2133cc41-d2d7-9f54-10ad-c7aa356c36ec