Claim total
$641.13
base $93.83 · payer covered $512.90
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-12-01
- Stop
- 2022-12-01
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-c887-2b3c972cf040