Claim total
$1,106.82
base $93.83 · payer covered $664.10
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2011-01-19
- Stop
- 2011-01-19
The parties
- Patient
- patient Velvet Elease Walter
- Provider
- provider Jesse Turner
- Payer
- payer Humana
Record id
06af16c1-6409-09e5-0577-9ed1145df97e