Claim total
$980.65
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1991-08-21
- Stop
- 1991-08-21
The parties
- Patient
- patient Erin Eugene Feeney
- Provider
- provider Kim Lind
- Payer
- payer Humana
Record id
2062844a-692f-af63-6891-9dc48416dac7