Claim total
$1,115.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-02-14
- Stop
- 2014-02-14
The parties
- Patient
- patient George Carrol Gutmann
- Provider
- provider Kelvin Reichel
- Payer
- payer UnitedHealthcare
Record id
2cc338ea-5e9c-b6be-cadd-fb33d05faa61