Claim total
$4,468.28
base $155.66 · payer covered $4,468.28
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-02-28
- Stop
- 2025-02-28
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-49ab-ca59f8330a10