Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1988-11-05
- Stop
- 1988-11-05
The parties
- Patient
- patient Adrian Lauren McKenzie
- Provider
- provider Andria Spinka
- Payer
- payer UnitedHealthcare
Record id
17f016d2-a88a-bd03-4271-43cdac9e1235