Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 1972-07-13
- Stop
- 1972-07-13
The parties
- Patient
- patient Hugo Lucas Valenzuela
- Provider
- provider Kelvin Reichel
- Payer
- payer Humana
Record id
335171b1-99b5-a5ab-0a1c-469bec82c3c6