Claim total
$5,204.81
base $155.66 · payer covered $5,204.81
The visit
- Class
- Ambulatory
- Code
- 169762003
- Reason
- —
- Start
- 2023-12-28
- Stop
- 2023-12-28
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Ross Stehr
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-0104-fd38ea84f0ed