Claim total
$1,154.69
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-11-15
- Stop
- 2023-11-15
The parties
- Patient
- patient Ramiro Ramón Uribe
- Provider
- provider Lowell Blick
- Payer
- payer UnitedHealthcare
Record id
0479f26d-83ad-2793-771d-53a77829d9cb