Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-03-16
- Stop
- 2020-03-16
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Shani Carroll
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-fcd2-b7c5c119a41e