Claim total
$777.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-10-26
- Stop
- 2023-10-26
The parties
- Patient
- patient Latesha Heaney
- Provider
- provider Eduardo Rubio
- Care site
- care site OPTAGE PRIMARY CARE LLC
- Payer
- payer Humana
Record id
02ab4e74-e091-f51b-c057-de09298c8d5f