Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-07-21
- Stop
- 2021-07-21
The parties
- Patient
- patient Tim Taylor Terry
- Provider
- provider Kim Lind
- Payer
- payer Humana
Record id
03607fcd-7c51-41c0-3a87-2e70581cecc7