Claim total
$1,119.04
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-12-24
- Stop
- 2021-12-24
The parties
- Patient
- patient Melvin Kunde
- Provider
- provider Ramiro Boehm
- Payer
- payer UnitedHealthcare
Record id
178a423a-4f3c-4276-a67f-94670ab92cc2