Claim total
$772.84
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1999-03-21
- Stop
- 1999-03-21
The parties
- Patient
- patient Pattie Kaycee Crona
- Provider
- provider Ronnie Gleason
- Payer
- payer Humana
Record id
1aaa77c8-971d-bf91-0d17-24fb7c51f67a