Claim total
$40,896.80
base $155.66 · payer covered $40,861.80
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-06-24
- Stop
- 2022-06-24
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Troy Leannon
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-385e-b46dc8e254b8