Claim total
$978.49
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-08-25
- Stop
- 2017-08-25
The parties
- Patient
- patient Anjelica Phebe Murphy
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Humana
Record id
103d8b63-825b-6621-1b2e-224767ca9de5