Claim total
$5,204.81
base $155.66 · payer covered $4,163.85
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2018-08-29
- Stop
- 2018-08-29
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Ross Stehr
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-83df-e99b18f70617