Claim total
$459.95
base $93.83 · payer covered $125.31
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-02-14
- Stop
- 2024-02-14
The parties
- Patient
- patient Ramiro Ramón Uribe
- Provider
- provider Jared Berge
- Payer
- payer UnitedHealthcare
Record id
0479f26d-83ad-2793-19dd-36da7152f8e7