Claim total
$1,284.19
base $93.39 · payer covered $1,027.35
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-12-19
- Stop
- 2020-12-19
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Burton O'Conner
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-8939-b7985c044607