Claim total
$2,139.03
base $155.66 · payer covered $2,139.03
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2025-04-18
- Stop
- 2025-04-18
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-0cd0-19e8449a4268