Claim total
$60,122.45
base $155.66 · payer covered $32,417.08
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 1996-02-25
- Stop
- 1996-02-25
The parties
- Patient
- patient Tynisha Kerri Padberg
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
27af11aa-2603-d62b-483d-28b1ef18043d