Claim total
$847.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-04-08
- Stop
- 2021-04-08
The parties
- Patient
- patient Angelo Muller
- Provider
- provider Jared Berge
- Payer
- payer Humana
Record id
036bf274-5bd6-d003-71e7-2bc50869666c