Claim total
$1,251.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-09-26
- Stop
- 2008-09-26
The parties
- Patient
- patient Merna Margarite Steuber
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Humana
Record id
208057d5-5848-9154-51f9-7bbe72d67629