Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-03-18
- Stop
- 2010-03-18
The parties
- Patient
- patient Meryl Belinda Grant
- Provider
- provider Jesse Turner
- Payer
- payer Humana
Record id
39b76937-cbc8-6fc4-126e-4bd2ec5be978