Claim total
$1,047.37
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-10-13
- Stop
- 2023-10-13
The parties
- Patient
- patient Merna Margarite Steuber
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Humana
Record id
208057d5-5848-9154-97c8-9de7f7a6c825