Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Shellfish735029006
- Start
- 2011-12-10
- Stop
- 2011-12-10
The parties
- Patient
- patient Rene Braun
- Provider
- provider Belkis Blick
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
19754690-fe19-5759-b1e2-0a0a4b6a6d46