Claim total
$1,116.65
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2011-08-20
- Stop
- 2011-08-20
The parties
- Provider
- provider Nikia Mills
- Payer
- payer Aetna
Record id
3337be33-817c-c066-30df-6afbfb4e85ea