Claim total
$979.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2008-02-24
- Stop
- 2008-02-24
The parties
- Patient
- patient August Gerhold
- Provider
- provider Leo Bartoletti
- Payer
- payer Humana
Record id
215ceddc-e259-5cac-e30d-1873107e4f23