Claim total
$972.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-06-13
- Stop
- 2016-06-13
The parties
- Patient
- patient Carroll Will Yost
- Provider
- provider Ronnie Gleason
- Payer
- payer Humana
Record id
2bc0be6e-e888-63db-3b4e-9cb7c747fba1