Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-04-28
- Stop
- 2021-04-28
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Marcus Douglas
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-d80d-5a4fc0841da4