Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2025-05-13
- Stop
- 2025-05-13
The parties
- Patient
- patient Raquel Mimi Maggio
- Provider
- provider Luis Miguel Barajas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
37f675b1-f539-0d89-f8b2-b276942335f5