Claim total
$640.69
base $93.39 · payer covered $140.54
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-09-17
- Stop
- 2023-09-17
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-2ee4-f9c7a3bb9d45