Claim total
$1,457.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-05-16
- Stop
- 2023-05-16
The parties
- Patient
- patient Ron Cory Cole
- Provider
- provider Jared Berge
- Payer
- payer Humana
Record id
2a1b16a8-3b6a-4d36-f566-496f291a823f