Claim total
$830.97
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-02-17
- Stop
- 2026-02-17
The parties
- Patient
- patient Nanci Lourie Rath
- Provider
- provider Abram Ullrich
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer UnitedHealthcare
Record id
019cb7db-9e62-def9-91cb-6dc6d110312a