Claim total
$641.13
base $93.83 · payer covered $435.36
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-11-12
- Stop
- 2020-11-12
The parties
- Provider
- provider Shaun Hills
- Care site
- care site STONEBRIDGE WELLNESS LTD
- Payer
- payer UnitedHealthcare
Record id
06444eb9-3bbb-5546-498f-a69bfdc795d2