Claim total
$1,009.56
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-08-24
- Stop
- 2016-08-24
The parties
- Patient
- patient Saul Little
- Provider
- provider Lucas Kautzer
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Humana
Record id
0205c336-938f-d85a-f59f-843e9cc3b038