Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1976-01-16
- Stop
- 1976-01-16
The parties
- Patient
- patient Asa Balistreri
- Provider
- provider Irmgard Padberg
- Payer
- payer UnitedHealthcare
Record id
1f720def-1bd4-df8f-dc77-6ebbbd9e8872