Claim total
$775.00
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-04-25
- Stop
- 2024-04-25
The parties
- Patient
- patient Angelo Muller
- Provider
- provider Anneliese Bradtke
- Payer
- payer Humana
Record id
036bf274-5bd6-d003-c0d9-66f449cd6a24