Claim total
$48,750.52
base $155.66 · payer covered $25,593.91
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-06-23
- Stop
- 2026-06-23
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-f261-8e85838d07c4