Claim total
$1,027.80
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1983-09-10
- Stop
- 1983-09-10
The parties
- Patient
- patient Markus Jessie Raynor
- Provider
- provider Jerold Bednar
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Humana
Record id
1e568894-7298-c9fd-edff-34588ea895b9