Claim total
$972.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1991-08-07
- Stop
- 1991-08-07
The parties
- Patient
- patient Yolanda Luisa Carrion
- Provider
- provider Ronnie Gleason
- Payer
- payer Humana
Record id
28158b6b-6270-9db1-65aa-bb450771ab64