Claim total
$1,527.01
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1983-05-27
- Stop
- 1983-05-27
The parties
- Patient
- patient Emelda Samuel King
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Humana
Record id
38e3a34b-5947-46ac-202a-667e2a32c719