Claim total
$1,302.92
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-08-10
- Stop
- 2023-08-10
The parties
- Patient
- patient Neomi Martina Hessel
- Provider
- provider Remona Sanford
- Payer
- payer Humana
Record id
3532acad-2415-19d2-4700-224c96a17635