Claim total
$915.99
base $93.39 · payer covered $732.79
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2019-10-13
- Stop
- 2019-10-13
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-2a41-6e59f4c18c10