Claim total
$51,645.07
base $155.66 · payer covered $30,987.06
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-09-07
- Stop
- 2026-09-07
The parties
- Patient
- patient Gwenn Xochitl Pollich
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
36bd080b-6e6b-6abc-c62f-c7345b8f266b