Claim total
$94.02
base $93.39 · payer covered $75.21
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-10-20
- Stop
- 2023-10-20
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Chance Wisoky
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-5b87-1e09da269abe