Claim total
$899.40
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-07-28
- Stop
- 2020-07-28
The parties
- Patient
- patient Elizbeth Deedra Boyer
- Provider
- provider Arnulfo Hickle
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer Aetna
Record id
33874f57-1c04-26b4-268d-3cf44df507f4