Claim total
$1,367.30
base $93.39 · payer covered $1,367.30
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-10-25
- Stop
- 2024-10-26
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-ce5f-73c83f31ab73