Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185345009
- Reason
- diagnosis concept Otitis media65363002
- Start
- 2022-09-13
- Stop
- 2022-09-13
The parties
- Patient
- patient Georgianna Swift
- Provider
- provider Dale Mertz
- Payer
- payer UnitedHealthcare
Record id
01573994-0592-a477-a8b2-56abca257068