Claim total
$906.71
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1988-08-17
- Stop
- 1988-08-17
The parties
- Patient
- patient Erin Eugene Feeney
- Provider
- provider Kelvin Reichel
- Payer
- payer Humana
Record id
2062844a-692f-af63-c7df-810291c4a16b