Claim total
$504.69
base $93.39 · payer covered $186.44
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2007-08-16
- Stop
- 2007-08-16
The parties
- Patient
- patient Angla Steuber
- Provider
- provider Michael Dibbert
- Payer
- payer UnitedHealthcare
Record id
102ce685-32cd-8a9f-48d9-95679b4cd862