Claim total
$1,182.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2009-07-08
- Stop
- 2009-07-08
The parties
- Patient
- patient Assunta Kuhic
- Provider
- provider Ronnie Gleason
- Payer
- payer Anthem
Record id
0bd86591-5816-0843-8adc-b6c2c894f752