Claim total
$291.66
base $155.66 · payer covered $291.66
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-11-08
- Stop
- 2021-11-08
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-d9ea-1ddfc6a2630e