Claim total
$773.83
base $93.83 · payer covered $619.06
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2024-09-25
- Stop
- 2024-09-25
The parties
- Patient
- patient Georgianna Swift
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer UnitedHealthcare
Record id
01573994-0592-a477-78e3-6c6ea79b4290