Claim total
$840.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2017-04-01
- Stop
- 2017-04-01
The parties
- Patient
- patient Jarred Leon Volkman
- Provider
- provider Elisha Hyatt
- Payer
- payer Humana
Record id
04a55b5e-c1dc-db1f-dd2c-057d868404c5