Claim total
$640.69
base $93.39 · payer covered $512.55
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-04-12
- Stop
- 2021-04-12
The parties
- Patient
- patient Vella Divina Renner
- Provider
- provider Irmgard Padberg
- Payer
- payer UnitedHealthcare
Record id
02404bb7-0f7d-3a30-1d1b-7a042477be64