Claim total
$1,112.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-04-22
- Stop
- 2023-04-22
The parties
- Patient
- patient Jarred Leon Volkman
- Provider
- provider Refugio Ruecker
- Payer
- payer Humana
Record id
04a55b5e-c1dc-db1f-945a-a71cd6a8027c