Claim total
$1,118.26
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2018-03-05
- Stop
- 2018-03-05
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Shani Carroll
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-93dd-5723f5d7dd5a