Claim total
$1,792.06
base $93.83 · payer covered $1,792.06
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-09-01
- Stop
- 2026-09-01
The parties
- Patient
- patient Zetta Akilah Padberg
- Provider
- provider Mike Monahan
- Care site
- care site THE FAMILY PARTNERSHIP
- Payer
- payer Humana
Record id
1a44470c-63f0-5269-cdbd-4f406eacec42