Claim total
$694.97
base $93.83 · payer covered $416.99
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-01-08
- Stop
- 2018-01-08
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Jared Berge
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-148c-daa956df4a9b