Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1999-08-18
- Stop
- 1999-08-18
The parties
- Patient
- patient Tim Taylor Terry
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Humana
Record id
03607fcd-7c51-41c0-12eb-7ffe0171d1f9