Claim total
$264.64
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2017-03-12
- Stop
- 2017-03-12
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Burton O'Conner
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-856f-d056c302f8ca