Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 1986-07-18
- Stop
- 1986-07-18
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Jo Stiedemann
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-1003-162af91ffa9a