Claim total
$986.74
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-07-14
- Stop
- 2023-07-14
The parties
- Patient
- patient Truman Noah Gutmann
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
348c9dd4-67d4-1864-fce0-e3549678bb38