Claim total
$1,244.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-04-14
- Stop
- 2023-04-14
The parties
- Patient
- patient Shavonne Zboncak
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Humana
Record id
20c58944-4778-30e8-326f-546cdcf7b973