Claim total
$1,602.75
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1969-10-22
- Stop
- 1969-10-22
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Kim Lind
- Payer
- payer No insurance
Record id
0054427e-44d7-94b2-3511-35c2bd8d14cc