dc66e42ec4
Categories now match folder names (15 canonical values). Types normalized to 25 canonical values per VAULT_MAP.md spec. Context-aware mapping: W-2s→tax-form, lease files→lease, vet records→vet, etc.
1.8 KiB
1.8 KiB
type, category, person, date, provider, source
| type | category | person | date | provider | source |
|---|---|---|---|---|---|
| receipt | medical | Yanxin Lu | 2025-10-03 | Progyny / ReproSource Fertility Diagnostics | progyny_statement_09_2025.pdf |
Progyny Payment Receipt
Progyny — Smarter Fertility Benefits
Date: October 03, 2025
Provider Information
| Field | Value |
|---|---|
| Provider | Progyny |
| Address | 1359 Broadway 2nd FL, New York, NY 10018 |
| collections@progyny.com | |
| Phone | (833) 499-1479 |
| Account # | 806298980 |
| Patient | YANXIN LU |
Thank you for your payment of $209.67 to Progyny for healthcare services outlined below:
Service Line Items
| Date of Service | Service | Charges | Insurance | Patient | Balance |
|---|---|---|---|---|---|
| 08/18/2025 | 82397 ; CHEMILUMINESCENT ASSAY TEST — Patient: YANXIN LU — Physician: REPROSOURCE FERTILITY DIAGNOSTICS | $69.18 | ($62.26) | $0.00 | $6.92 |
| 08/18/2025 | 88184 ; SPERM DNA FRAGMENTATION — Patient: YANXIN LU — Physician: REPROSOURCE FERTILITY DIAGNOSTICS | $809.09 | ($728.18) | $0.00 | $80.91 |
| 08/18/2025 | 88185 ; SPERM DNA FRAGMENTATION — Patient: YANXIN LU — Physician: REPROSOURCE FERTILITY DIAGNOSTICS | $1,031.00 | ($927.90) | $0.00 | $103.10 |
| 08/18/2025 | 89051 ; SPERM DNA FRAGMENTATION — Patient: YANXIN LU — Physician: REPROSOURCE FERTILITY DIAGNOSTICS | $135.84 | ($122.26) | $0.00 | $13.58 |
| 08/18/2025 | 89261 ; SPERM DNA FRAGMENTATION — Patient: YANXIN LU — Physician: REPROSOURCE FERTILITY DIAGNOSTICS | $51.57 | ($46.41) | $0.00 | $5.16 |
Payment Information
| Date Paid | Card Ending | Confirmation | Amount Paid |
|---|---|---|---|
| 10/03/2025 | Visa 6118 | 276411048801 | $209.67 |
| Total Paid | $209.67 |
| Balance Due | $0.00 |
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