Claim total
$1,039.69
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-05-05
- Stop
- 2020-05-05
The parties
- Patient
- patient Korey Lester Williamson
- Provider
- provider Austin Roob
- Payer
- payer Humana
Record id
02695016-2813-6239-d0e3-d97f7f869db7