Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Inpatient
- Code
- 56876005
- Reason
- diagnosis concept Dependent drug abuse6525002
- Start
- 2025-12-20
- Stop
- 2025-12-22
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Gertrud Kunde
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-1f4d-6313912c2fec