Claim total
$1,177.77
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-10-16
- Stop
- 1994-10-16
The parties
- Patient
- patient Darla Leigha McCullough
- Provider
- provider Andria Spinka
- Payer
- payer Humana
Record id
0b24e9bf-0320-dcd2-f2fa-5da1ba9b0074