Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 2023-04-25
- Stop
- 2023-04-25
The parties
- Patient
- patient Moshe Eduardo Adams
- Provider
- provider Trinidad Quitzon
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
334f6176-164f-0d94-5124-3c78b4acd186