Claim total
$850.30
base $93.39 · payer covered $680.23
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2012-07-01
- Stop
- 2012-07-01
The parties
- Patient
- patient Mao Irmgard Rempel
- Provider
- provider Adrienne Hills
- Payer
- payer UnitedHealthcare
Record id
271af137-6ac7-08bf-3d32-47b5c68e91b5