Claim total
$293.11
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1963-10-20
- Stop
- 1963-10-20
The parties
- Patient
- patient Darla Leigha McCullough
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Humana
Record id
0b24e9bf-0320-dcd2-3158-35fa86d7afe9