Claim total
$1,049.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1977-12-24
- Stop
- 1977-12-24
The parties
- Patient
- patient Venice O'Reilly
- Provider
- provider Trent Kozey
- Payer
- payer UnitedHealthcare
Record id
0e2939c5-5704-820f-3432-411fe5a4063c