Claim total
$1,112.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2009-06-28
- Stop
- 2009-06-28
The parties
- Patient
- patient Terrance Derek Mueller
- Provider
- provider Julene Lemke
- Payer
- payer UnitedHealthcare
Record id
032e5f12-51a3-9303-7d3f-a5beb944f057