Claim total
$1,318.06
base $93.83 · payer covered $1,054.44
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-08-08
- Stop
- 2018-08-08
The parties
- Patient
- patient Cassie Kristina Hoeger
- Provider
- provider Michel Halvorson
- Care site
- care site WRIGHT MEDICAL CARE PLLC
- Payer
- payer UnitedHealthcare
Record id
0071794d-67c4-c06b-7475-98894724692b