Claim total
$93.39
base $93.39 · payer covered $47.93
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2017-08-05
- Stop
- 2017-08-05
The parties
- Patient
- patient Shira Taylor O'Connell
- Provider
- provider Antonetta Lubowitz
- Payer
- payer UnitedHealthcare
Record id
2a8f629a-4321-59c6-3f33-49f570f4e1c5