Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1990-11-04
- Stop
- 1990-11-04
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Beatriz Swift
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Humana
Record id
05cb9ca9-5092-9c9d-f251-c56497f1712b