Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Eggs (edible)102263004
- Start
- 1970-07-05
- Stop
- 1970-07-05
The parties
- Patient
- patient Genaro Tomas Kertzmann
- Provider
- provider Leta Sipes
- Payer
- payer UnitedHealthcare
Record id
17191b9b-02e3-d772-204d-f05667954e53