Claim total
$504.69
base $93.39 · payer covered $188.52
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Allergic disposition609328004
- Start
- 2011-07-03
- Stop
- 2011-07-03
The parties
- Provider
- provider Harold Hagenes
- Payer
- payer UnitedHealthcare
Record id
19b87c0d-b841-18cf-c94a-36a5c6054c79