Claim total
$979.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1996-08-12
- Stop
- 1996-08-12
The parties
- Patient
- patient Devorah Xiao Zemlak
- Provider
- provider Ronnie Gleason
- Payer
- payer Humana
Record id
2bd68ab8-f54b-97f8-3490-4a5c61258a88