Claim total
$34,774.90
base $155.66 · payer covered $22,214.43
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-01-05
- Stop
- 2026-01-05
The parties
- Patient
- patient Thu Sunni Funk
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
32486fb2-66f7-813c-8f54-862d659071b1