Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-03-08
- Stop
- 2018-03-08
The parties
- Patient
- patient Jarrod Rex Bayer
- Provider
- provider Sherly Hodkiewicz
- Payer
- payer Humana
Record id
2c35b5f8-b221-9e42-7c68-cc3fc33ee822