Claim total
$1,183.92
base $93.83 · payer covered $297.91
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-10-03
- Stop
- 2021-10-03
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Nikia Mills
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-705e-aae58115d3ad