Claim total
$772.84
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-08-29
- Stop
- 2020-08-29
The parties
- Patient
- patient Michael Forrest Rempel
- Provider
- provider David Klein
- Payer
- payer Humana
Record id
2fae7a06-e7f5-19fb-47d7-7b1f69f787cd