Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Wheat412071004
- Start
- 2024-01-01
- Stop
- 2024-01-01
The parties
- Patient
- patient Buster Aldo Carter
- Provider
- provider Michael Dibbert
- Payer
- payer UnitedHealthcare
Record id
1659d978-c34c-f99b-6c72-5fa0829ac509