Claim total
$1,101.11
base $93.83 · payer covered $156.95
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-02-16
- Stop
- 2022-02-16
The parties
- Patient
- patient Marcellus Avery Rau
- Provider
- provider Trent Kozey
- Payer
- payer UnitedHealthcare
Record id
261baccc-fb99-50da-3873-912d702ad154