Claim total
$993.68
base $93.39 · payer covered $794.94
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2003-03-08
- Stop
- 2003-03-08
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Dale Mertz
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-22e6-5af5438d3076