Claim total
$773.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2016-12-25
- Stop
- 2016-12-25
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Randee Sawayn
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-fe35-f222a19158f1