Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2020-08-11
- Stop
- 2020-08-11
The parties
- Patient
- patient Georgianna Swift
- Provider
- provider Dale Mertz
- Payer
- payer UnitedHealthcare
Record id
01573994-0592-a477-258b-82a27d40916f