Claim total
$6,236.68
base $155.66 · payer covered $6,201.68
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-09-16
- Stop
- 2022-09-16
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-5c3e-0372ad835ab8