Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 1989-12-23
- Stop
- 1989-12-23
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Dale Mertz
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-ab42-8e2479a9705f