Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1966-06-16
- Stop
- 1966-06-16
The parties
- Patient
- patient Orlando Reinaldo Cronin
- Provider
- provider Jesse Turner
- Payer
- payer Humana
Record id
016cc543-ba51-79f8-0543-6a360cf0f5ba