Claim total
$10,937.21
base $155.66 · payer covered $10,937.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-10-18
- Stop
- 2024-10-18
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Stuart Bergnaum
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-c644-52398deefe07