Claim total
$9,225.83
base $155.66 · payer covered $9,225.83
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-08-18
- Stop
- 2026-08-18
The parties
- Patient
- patient Cyndi Tromp
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
01936333-6290-e7a2-3147-85bf2ec31106