Claim total
$93.83
base $93.83 · payer covered $75.06
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-10-15
- Stop
- 2023-10-15
The parties
- Patient
- patient Tawanna Nedra Kuhlman
- Provider
- provider Trent Kozey
- Payer
- payer UnitedHealthcare
Record id
00508659-1210-a7fa-ff38-996a34bc9c9c