Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-11-14
- Stop
- 2019-11-14
The parties
- Patient
- patient Verona Ginger O'Keefe
- Provider
- provider Kenny Walker
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer UnitedHealthcare
Record id
04161a30-0372-a815-200c-bc8b07706e28