Claim total
$31,095.35
base $155.66 · payer covered $15,543.22
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2026-08-01
- Stop
- 2026-08-01
The parties
- Patient
- patient Malvina Jodie Funk
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
3566cc77-5678-10db-1773-57aff78cb764