Claim total
$3,760.20
base $127.17 · payer covered $3,725.20
The visit
- Class
- Emergency
- Code
- 183460006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2023-01-27
- Stop
- 2023-01-27
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Raymond Ebert
- Care site
- care site CARONDELET VILLAGE CARE CENTER
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-4e08-32b4633001c7