Claim total
$2,034.89
base $155.66 · payer covered $1,627.91
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2025-08-20
- Stop
- 2025-08-20
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Ross Stehr
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-5249-ebcae9b62ade