Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Idiopathic atrophic hypothyroidism83664006
- Start
- 2007-11-23
- Stop
- 2007-11-23
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
0277738c-b3e3-4ada-435f-6379356c6197