Claim total
$9,170.72
base $155.66 · payer covered $9,170.72
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2024-09-20
- Stop
- 2024-09-20
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-bc05-23a0e5d3167a