Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Gout90560007
- Start
- 2022-11-03
- Stop
- 2022-11-03
The parties
- Patient
- patient César Ramón Mora
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
220c0399-d7a9-9463-0759-bc2e8abc44de