Claim total
$847.72
base $93.83 · payer covered $508.64
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-04-30
- Stop
- 2019-04-30
The parties
- Patient
- patient Korey Lester Williamson
- Provider
- provider Austin Roob
- Payer
- payer Humana
Record id
02695016-2813-6239-43a2-937997e92eaa