Claim total
$9,356.03
base $155.66 · payer covered $9,321.03
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-10-14
- Stop
- 2022-10-14
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-1e4c-838d6a8b1d05