Claim total
$1,850.98
base $93.83 · payer covered $1,850.98
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-06-07
- Stop
- 2020-06-07
The parties
- Patient
- patient Xuan Collier
- Provider
- provider Shani Carroll
- Payer
- payer Humana
Record id
002d4429-df26-5797-0b27-81b0323e5229