Claim total
$229.83
base $93.83 · payer covered $183.86
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2017-09-24
- Stop
- 2017-09-24
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Trent Kozey
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-6606-05fafd7d0328