Claim total
$979.43
base $93.83 · payer covered $134.32
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-02-12
- Stop
- 2014-02-12
The parties
- Patient
- patient Buford Will
- Provider
- provider Trent Kozey
- Payer
- payer UnitedHealthcare
Record id
316e3658-f66a-6c86-72ca-3a896b82e734