Claim total
$1,245.34
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-04-01
- Stop
- 2022-04-01
The parties
- Patient
- patient Queenie Van Keebler
- Provider
- provider Fatimah Schumm
- Payer
- payer Humana
Record id
046b1f1e-c36f-c080-1774-a483025b0a12