Claim total
$969.55
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2006-12-11
- Stop
- 2006-12-11
The parties
- Patient
- patient Tu Denna Price
- Provider
- provider Cornelia Altenwerth
- Care site
- care site MERCY HOSPITAL
- Payer
- payer UnitedHealthcare
Record id
32312fb3-1780-4d1a-45f0-f485b66a65a3