Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Cow's milk3718001
- Start
- 2004-10-09
- Stop
- 2004-10-09
The parties
- Patient
- patient Angla Steuber
- Provider
- provider Adrienne Hills
- Payer
- payer UnitedHealthcare
Record id
102ce685-32cd-8a9f-a940-3e2c9886fdbe