Claim total
$773.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2026-01-29
- Stop
- 2026-01-29
The parties
- Provider
- provider Albert Blanda
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer UnitedHealthcare
Record id
03280a67-7b8b-6ce1-bd6d-b059ed0cd2f0