Claim total
$772.84
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2002-07-09
- Stop
- 2002-07-09
The parties
- Patient
- patient Alberto Hernán Aguilera
- Provider
- provider Wesley Nader
- Payer
- payer Humana
Record id
2f1a8d15-f4a4-bfdc-ca65-8da52376a99b