Claim total
$1,030.14
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1992-10-11
- Stop
- 1992-10-11
The parties
- Patient
- patient Darla Leigha McCullough
- Provider
- provider Criselda Bartell
- Payer
- payer Humana
Record id
0b24e9bf-0320-dcd2-0986-4d72d0da2532