Claim total
$5,339.84
base $155.66 · payer covered $5,339.84
The visit
- Class
- Ambulatory
- Code
- 424619006
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2025-02-21
- Stop
- 2025-02-21
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-c67f-16f98c0f46e3