Claim total
$229.83
base $93.83 · payer covered $183.86
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2018-09-23
- Stop
- 2018-09-23
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Nikia Mills
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-9f25-332fce3489d9