Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2001-05-05
- Stop
- 2001-05-05
The parties
- Patient
- patient Pete Ignacio Feest
- Provider
- provider Marcus Douglas
- Payer
- payer UnitedHealthcare
Record id
09b9c891-0bef-2077-3f69-9fb4f8c137cc