Claim total
$8,763.84
base $155.66 · payer covered $8,763.84
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-09-15
- Stop
- 2026-09-15
The parties
- Patient
- patient Cyndi Tromp
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
01936333-6290-e7a2-5424-b92b9efd65d0