Claim total
$899.40
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-11-17
- Stop
- 2022-11-17
The parties
- Provider
- provider Venita Fahey
- Care site
- care site STONEBRIDGE WELLNESS LTD
- Payer
- payer UnitedHealthcare
Record id
06444eb9-3bbb-5546-9ac2-541913c4951f