Claim total
$913.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-02-19
- Stop
- 2015-02-20
The parties
- Patient
- patient Emery Herbert Steuber
- Provider
- provider Kathern Krajcik
- Care site
- care site FAMILY LINK SOCIAL SERVICES
Record id
003012ce-f819-e17b-cdcc-180d6ac9f01c