Claim total
$1,052.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-11-20
- Stop
- 2019-11-20
The parties
- Patient
- patient Georgianna Swift
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer UnitedHealthcare
Record id
01573994-0592-a477-d6b5-dc33f9aac580