Claim total
$1,463.73
base $93.83 · payer covered $4.58
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-08-11
- Stop
- 2021-08-11
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Harry Gottlieb
- Care site
- care site WRIGHT MEDICAL CARE PLLC
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-31f1-be2ca1c7928c