Claim total
$3,034.76
base $155.66 · payer covered $2,427.81
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- diagnosis concept Diabetes mellitus type 244054006
- Start
- 2021-08-01
- Stop
- 2021-08-01
The parties
- Patient
- patient Terrance Derek Mueller
- Provider
- provider Eldora Denesik
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
032e5f12-51a3-9303-c6c0-ef008b149aef