Claim total
$915.99
base $93.39 · payer covered $533.84
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2017-08-10
- Stop
- 2017-08-10
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-88e5-49f4d5872342