Claim total
$1,253.66
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2020-10-29
- Stop
- 2020-10-30
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-e433-72e1-6939daf08f88