Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1962-01-15
- Stop
- 1962-01-15
The parties
- Patient
- patient Marna Francis Kuhlman
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
1b79641c-a011-48b3-aa91-1d47465d0e96