Claim total
$1,276.24
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2009-03-30
- Stop
- 2009-03-30
The parties
- Patient
- patient Elena Shaunna Volkman
- Provider
- provider Julieann Christiansen
- Care site
- care site DUE NORTH WELLNESS CENTER PLLC
- Payer
- payer UnitedHealthcare
Record id
2bd6134b-a178-5d14-a831-29a7d0d457aa