Claim total
$1,251.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-08-07
- Stop
- 2006-08-07
The parties
- Patient
- patient Avery Tamekia Adams
- Provider
- provider Renato Bahringer
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
- Payer
- payer Humana
Record id
0ef447aa-1d55-83c2-0784-d4700ad41c97