Claim total
$3,429.98
base $76.30 · payer covered $2,743.98
The visit
- Class
- Emergency
- Code
- 390906007
- Reason
- diagnosis concept Acute infective cystitis307426000
- Start
- 2022-06-22
- Stop
- 2022-06-22
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Camelia Hodkiewicz
- Care site
- care site CHI HEALTH AT HOME
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-7d9c-f2a3a57e2eba