Claim total
$1,077.03
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1983-11-16
- Stop
- 1983-11-16
The parties
- Patient
- patient Hosea Russel
- Provider
- provider Dan Leuschke
- Care site
- care site WELLNESS CENTERS, PLLC
- Payer
- payer UnitedHealthcare
Record id
26658952-6eec-bff7-0ef4-5f40d39fb5db