Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 1973-07-20
- Stop
- 1973-07-20
The parties
- Patient
- patient Asa Balistreri
- Provider
- provider Dale Mertz
- Payer
- payer UnitedHealthcare
Record id
1f720def-1bd4-df8f-96ae-ab7b73018847