Claim total
$843.43
base $93.83 · payer covered $674.73
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-06-09
- Stop
- 2021-06-09
The parties
- Patient
- patient Jeffie Vivan Lowe
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer UnitedHealthcare
Record id
357b1f09-8ef7-8091-add6-7570c53c42a9