Claim total
$903.69
base $93.83 · payer covered $722.94
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-12-07
- Stop
- 2023-12-07
The parties
- Patient
- patient Verona Ginger O'Keefe
- Provider
- provider Rodrick Willms
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer UnitedHealthcare
Record id
04161a30-0372-a815-9a21-c89a1a8ad52f