Claim total
$640.69
base $93.39 · payer covered $512.55
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-09-05
- Stop
- 2020-09-05
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Jo Stiedemann
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-5f65-7bd1b103b185