Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-03-15
- Stop
- 2019-03-15
The parties
- Patient
- patient George Carrol Gutmann
- Provider
- provider Andria Spinka
- Payer
- payer UnitedHealthcare
Record id
2cc338ea-5e9c-b6be-9057-b5981e266761