Claim total
$293.11
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2017-09-29
- Stop
- 2017-09-29
The parties
- Patient
- patient Malcolm Graig Hackett
- Provider
- provider Frieda Goodwin
- Payer
- payer UnitedHealthcare
Record id
02579c91-f636-e7d1-da88-40bdc2cdeb14