Claim total
$14,695.21
base $155.66 · payer covered $14,660.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-08-28
- Stop
- 2020-08-28
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Cory Lynch
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-c5ca-d378c7f317da