Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-04
- Stop
- 2021-05-04
The parties
- Patient
- patient Korey Lester Williamson
- Provider
- provider Michael Dibbert
- Payer
- payer Humana
Record id
02695016-2813-6239-6494-1a8b459daa48