Claim total
$840.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2009-05-01
- Stop
- 2009-05-01
The parties
- Patient
- patient Dante Stevie Bartoletti
- Provider
- provider Nenita Glover
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Humana
Record id
14c06153-55ef-b7c9-93b3-511797cdcd98