Claim total
$933.51
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-03-11
- Stop
- 2019-03-11
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Lizeth Schiller
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-35ca-1af15a1d1643