Claim total
$1,112.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-02-02
- Stop
- 2021-02-02
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-eb34-b79d11ff6117