Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-02-25
- Stop
- 2022-02-25
The parties
- Patient
- patient Alvin Raymond Wilderman
- Provider
- provider Magen Mertz
- Payer
- payer UnitedHealthcare
Record id
2d01a944-5d28-8528-4808-0f92d0d8dce1