Claim total
$640.69
base $93.39 · payer covered $512.55
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-10-05
- Stop
- 2020-10-05
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-d628-ad94c695824e