Claim total
$1,043.93
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-10-27
- Stop
- 2001-10-27
The parties
- Patient
- patient Venice O'Reilly
- Provider
- provider Randee Sawayn
- Payer
- payer UnitedHealthcare
Record id
0e2939c5-5704-820f-2559-bef19d5e8d19