Claim total
$593.54
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-10-09
- Stop
- 2022-10-09
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Trent Kozey
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-05c4-899546cf09b0