Claim total
$155.66
base $155.66 · payer covered $124.53
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2018-09-05
- Stop
- 2018-09-05
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Ross Stehr
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-9520-61aeca58cda6