Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1995-03-15
- Stop
- 1995-03-15
The parties
- Patient
- patient Delmer Maynard Kris
- Provider
- provider Nikia Mills
- Payer
- payer Humana
Record id
0b575b03-961f-f971-23b6-dbe7c7965157