Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-04-13
- Stop
- 2019-04-13
The parties
- Patient
- patient Jarred Leon Volkman
- Provider
- provider Refugio Ruecker
- Payer
- payer Humana
Record id
04a55b5e-c1dc-db1f-4afd-f4daacde1d30