Claim total
$1,542.08
base $93.83 · payer covered $67.26
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1956-05-16
- Stop
- 1956-05-16
The parties
- Patient
- patient Yun Herminia Barton
- Provider
- provider In Reichert
- Payer
- payer UnitedHealthcare
Record id
100eef27-6b16-ad8b-1d36-ab9278f2d5cf