Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-06-16
- Stop
- 2018-06-16
The parties
- Patient
- patient Louis Lowe
- Provider
- provider Sandy Reichel
- Payer
- payer Humana
Record id
0133e229-9af3-5afb-3a5c-58dd9a8a418f