Claim total
$35,112.69
base $155.66 · payer covered $27,903.75
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-07-26
- Stop
- 2024-07-26
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Silvana Weber
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-f8ab-5eeee19d5561