Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Glycine max256355007
- Start
- 2014-09-06
- Stop
- 2014-09-06
The parties
- Patient
- patient Kent Wilton MacGyver
- Provider
- provider Adrienne Hills
- Payer
- payer UnitedHealthcare
Record id
1e1b6829-9418-d8e2-c203-e7828a56a57e