Claim total
$1,776.81
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-10-23
- Stop
- 2016-10-23
The parties
- Patient
- patient Jerrica Macie Waters
- Provider
- provider Beatriz Swift
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Humana
Record id
194333b2-0fcf-d604-3b76-35ffa249494a