Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1974-06-19
- Stop
- 1974-06-19
The parties
- Patient
- patient Trena Melia Rempel
- Provider
- provider Trent Kozey
- Payer
- payer UnitedHealthcare
Record id
08f81ff0-ea1a-59df-cdc5-249e424f14a9