Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1998-07-03
- Stop
- 1998-07-03
The parties
- Patient
- patient Vance Keith Satterfield
- Provider
- provider Fatimah Schumm
- Payer
- payer Humana
Record id
137081c9-cce7-4891-0022-2d50f50b3c26