Claim total
$10,480.34
base $155.66 · payer covered $8,384.28
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-08-23
- Stop
- 2024-08-23
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-6064-764d27e4230a