Claim total
$5,838.26
base $155.66 · payer covered $5,803.26
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2020-07-17
- Stop
- 2020-07-17
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Dual Eligible
Record id
02d10ce5-acf0-36ed-5f6d-5ce7efc8e3cd