Claim total
$773.83
base $93.83 · payer covered $619.06
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2026-07-02
- Stop
- 2026-07-02
The parties
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer UnitedHealthcare
Record id
03280a67-7b8b-6ce1-bdd3-fa75ec2c3bac