Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2023-09-24
- Stop
- 2023-09-24
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-9c76-fdbd75a47558