Claim total
$976.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-11-14
- Stop
- 1994-11-14
The parties
- Patient
- patient Dee Schowalter
- Provider
- provider Lizeth Schiller
- Payer
- payer UnitedHealthcare
Record id
38793bd6-9217-56cf-6bfb-f205cbb603ed