Claim total
$2,452.77
base $155.66 · payer covered $1,962.21
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-02-16
- Stop
- 2022-02-16
The parties
- Patient
- patient Colby Wunsch
- Provider
- provider Lady Frami
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
02d10ce5-acf0-36ed-872d-9add85a73ec6