Claim total
$1,541.65
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-12-06
- Stop
- 2010-12-06
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Simon Tremblay
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-12b0-09c6b44fafa2