Claim total
$998.30
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-12-31
- Stop
- 2022-12-31
The parties
- Patient
- patient Long Everette O'Connell
- Provider
- provider Magen Mertz
- Payer
- payer Humana
Record id
2b42a968-c9dc-d930-395a-ae829d1fbce2