Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-12-11
- Stop
- 2021-12-11
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Irmgard Padberg
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-854c-e29c2dd2fa58