Claim total
$155.66
base $155.66 · payer covered $124.53
The visit
- Class
- Ambulatory
- Code
- 394701000
- Reason
- diagnosis concept Asthma195967001
- Start
- 2018-07-31
- Stop
- 2018-07-31
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Harold Hagenes
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-7de9-12ae503402ac