Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-02-01
- Stop
- 2017-02-01
The parties
- Patient
- patient Elisha Bayer
- Provider
- provider Criselda Bartell
- Payer
- payer Humana
Record id
16a344fc-0430-e1d6-3428-4e1c2096e384