Claim total
$1,116.65
base $93.83 · payer covered $170.94
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-04-05
- Stop
- 2023-04-05
The parties
- Patient
- patient Buford Will
- Provider
- provider Trent Kozey
- Payer
- payer UnitedHealthcare
Record id
316e3658-f66a-6c86-d35f-b3aa5b4a1b2b