Claim total
$777.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2015-02-16
- Stop
- 2015-02-16
The parties
- Patient
- patient Lakenya Rowena Yost
- Provider
- provider Lizeth Schiller
- Payer
- payer UnitedHealthcare
Record id
059f80d2-8b9a-47e2-cd80-c8d845fe304f