Claim total
$13,067.64
base $155.66 · payer covered $13,032.64
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-08-19
- Stop
- 2022-08-19
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Stuart Bergnaum
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-daf2-94ef7f2b99b0