Claim total
$915.99
base $93.39 · payer covered $641.95
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute viral pharyngitis195662009
- Start
- 2026-04-07
- Stop
- 2026-04-08
The parties
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
0177a0d4-f7b6-3393-fa89-06332492120f