Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-04-13
- Stop
- 2021-04-13
The parties
- Patient
- patient Korey Lester Williamson
- Provider
- provider Adrienne Hills
- Payer
- payer Humana
Record id
02695016-2813-6239-8b35-34b6c62073ec