Claim total
$5,638.96
base $93.39 · payer covered $4,511.17
The visit
- Class
- Ambulatory
- Code
- 270427003
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-02-03
- Stop
- 2022-02-03
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-c0dd-97bd19da2174