Claim total
$915.99
base $93.39 · payer covered $732.79
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2020-12-26
- Stop
- 2020-12-26
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Irmgard Padberg
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-2ed4-b5f04425e5f3