Claim total
$1,049.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-09-02
- Stop
- 2017-09-02
The parties
- Provider
- provider Wesley Nader
- Payer
- payer Humana
Record id
1a578c2a-84e6-3705-a0bf-310b726f8c37