Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-11-27
- Stop
- 2025-11-27
The parties
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer UnitedHealthcare
Record id
03280a67-7b8b-6ce1-3087-b0feb615ed12