Claim total
$229.83
base $93.83 · payer covered $183.86
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-08-14
- Stop
- 2024-08-14
The parties
- Patient
- patient Ramiro Ramón Uribe
- Provider
- provider Lowell Blick
- Payer
- payer UnitedHealthcare
Record id
0479f26d-83ad-2793-03f7-ee62801d6399