Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Concussion with no loss of consciousness62106007
- Start
- 2018-06-14
- Stop
- 2018-06-14
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Floyd Toy
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-68cc-36b108bbf52e