Claim total
$850.74
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2003-04-11
- Stop
- 2003-04-11
The parties
- Provider
- provider Ines Kautzer
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
1179f018-5c86-1d0c-870b-cc262c1fb9ea