Claim total
$505.13
base $93.83 · payer covered $404.10
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-10-01
- Stop
- 2025-10-01
The parties
- Patient
- patient Georgianna Swift
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer UnitedHealthcare
Record id
01573994-0592-a477-25ef-b8e63af3a3a9