Claim total
$4,836.44
base $127.17 · payer covered $4,801.44
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-09-04
- Stop
- 2020-09-04
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-4e4e-324c95509690