Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-01-18
- Stop
- 2015-01-18
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Derick Feil
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Humana
Record id
05cb9ca9-5092-9c9d-cdbf-36f442646395