Claim total
$1,116.65
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-02-08
- Stop
- 2023-02-08
The parties
- Patient
- patient Elisha Bayer
- Provider
- provider Rosio Gleason
- Payer
- payer Humana
Record id
16a344fc-0430-e1d6-de67-ae429d54d568