Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-01-31
- Stop
- 1994-01-31
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Julene Lemke
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-e31c-bd26b693bdf4