Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-08-14
- Stop
- 2024-08-14
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Lakesha Wilderman
- Care site
- care site WRIGHT MEDICAL CARE PLLC
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-0dd6-dacd3499ba79