Claim total
$4,465.90
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1990-11-09
- Stop
- 1990-11-09
The parties
- Patient
- patient Jake Jeremy Osinski
- Provider
- provider Luisa Wilkinson
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Humana
Record id
0dfbe012-8ee8-d7ad-c93f-b74fa64e34d1