Claim total
$980.65
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-11-25
- Stop
- 2023-11-25
The parties
- Patient
- patient Deann Shawnee Hilll
- Provider
- provider Billie Abbott
- Care site
- care site ALLIANCE WELLNESS CENTER LLC
- Payer
- payer Humana
Record id
290b32a5-c822-1cc3-ee33-58fc996d31f6