Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-04-15
- Stop
- 2016-04-15
The parties
- Provider
- provider Jesse Turner
- Payer
- payer UnitedHealthcare
Record id
29f06c58-234b-5431-0a23-0c20053a464c