Claim total
$916.43
base $93.83 · payer covered $733.14
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2016-09-25
- Stop
- 2016-09-25
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Nikia Mills
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-2132-74a274640b43