Claim total
$1,463.73
base $93.83 · payer covered $447.05
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-10-26
- Stop
- 2025-10-26
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Randee Sawayn
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-facf-bed03b968bf6