Claim total
$1,463.73
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-11-04
- Stop
- 2021-11-05
The parties
- Patient
- patient Temple Joe Beer
- Provider
- provider Miles Kuphal
- Care site
- care site WELLNESS CENTERS, PLLC
- Payer
- payer Humana
Record id
031e9e86-1ff9-e433-2fd0-81d4eed50214