Claim total
$1,025.48
base $93.39 · payer covered $620.49
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-03-25
- Stop
- 2017-03-25
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Harold Hagenes
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-3b64-d65f88cedbba