Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2017-10-24
- Stop
- 2017-10-24
The parties
- Patient
- patient Verda Mariette Ruecker
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
26263485-8712-cf88-b425-19ea6b324d07