Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-12-18
- Stop
- 2021-12-18
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Irmgard Padberg
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-1ac5-513beea07e23