Claim total
$1,046.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-01-05
- Stop
- 2022-01-05
The parties
- Patient
- patient Yasmin Wuckert
- Provider
- provider Magen Mertz
- Payer
- payer Humana
Record id
1e226bcd-e5de-efe8-37dd-20806af76a0b