Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2015-12-09
- Stop
- 2015-12-09
The parties
- Patient
- patient Margo Jene Beier
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
2acc43d9-4ea6-321e-54a1-c7460fb3a00b