Claim total
$973.34
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-08-07
- Stop
- 2018-08-07
The parties
- Patient
- patient Randell Pfeffer
- Provider
- provider Danica Stracke
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer Humana
Record id
3642746e-ee7c-d37f-9925-df47f2cb2d72