Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2018-04-07
- Stop
- 2018-04-07
The parties
- Patient
- patient Jarred Leon Volkman
- Provider
- provider Raymonde Toy
- Payer
- payer Humana
Record id
04a55b5e-c1dc-db1f-563a-6fe2f55a5ed6