Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-12-30
- Stop
- 2013-12-30
The parties
- Patient
- patient Misty Celestine Kuhn
- Provider
- provider David Klein
- Payer
- payer Humana
Record id
356a05d5-08f1-799a-0b68-4e6574ae5900