Claim total
$846.34
base $93.39 · payer covered $677.07
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2014-04-28
- Stop
- 2014-04-28
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Harold Hagenes
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-ddf1-c50f8d758027