Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-11-10
- Stop
- 2019-11-10
The parties
- Patient
- patient Jermaine Minh Torphy
- Provider
- provider Nikia Mills
- Payer
- payer Aetna
Record id
287b245c-eac5-b875-12e1-7d80535019d9