Claim total
$93.49
base $93.39 · payer covered $74.79
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2021-10-08
- Stop
- 2021-10-08
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Chance Wisoky
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-21ae-d964436d9e67