Claim total
$1,663.01
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-06-28
- Stop
- 2017-06-28
The parties
- Patient
- patient Robt Elwood Mills
- Provider
- provider Randee Sawayn
- Payer
- payer Humana
Record id
31f4ae9d-6264-91c9-0a5f-a395ad6a55b4