Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1945-08-03
- Stop
- 1945-08-04
The parties
- Patient
- patient Quinn Maximo Hartmann
- Provider
- provider Kim Lind
- Payer
- payer Humana
Record id
262dbc34-d670-c004-03ad-0a496ec2e8cc