Claim total
$43,772.25
base $155.66 · payer covered $22,606.94
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-08-18
- Stop
- 2026-08-18
The parties
- Patient
- patient Zetta Akilah Padberg
- Provider
- provider Leta Sipes
- Payer
- payer Humana
Record id
1a44470c-63f0-5269-caf9-bb1adcbc5a42