Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2011-02-10
- Stop
- 2011-02-10
The parties
- Patient
- patient Su Vernie Kuhlman
- Provider
- provider Anneliese Bradtke
- Payer
- payer Humana
Record id
22fea05c-650a-321a-ea45-2b196e9b3b4b