Claim total
$127.17
base $127.17 · payer covered $101.74
The visit
- Class
- Emergency
- Code
- 183478001
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2025-11-10
- Stop
- 2025-11-10
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-6ac4-5e1b5abd6f6b