Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2019-12-09
- Stop
- 2019-12-09
The parties
- Patient
- patient Tu Denna Price
- Provider
- provider Brian Gleason
- Care site
- care site MERCY HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
32312fb3-1780-4d1a-53a8-409c93655548