Claim total
$1,527.01
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-08-19
- Stop
- 2015-08-19
The parties
- Patient
- patient Saul Little
- Provider
- provider Lashell Weber
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Humana
Record id
0205c336-938f-d85a-95c5-e27676f85a65