Claim total
$501.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1991-07-18
- Stop
- 1991-07-18
The parties
- Patient
- patient Tracy Feest
- Provider
- provider Pearly Rohan
- Payer
- payer No insurance
Record id
00555634-6baa-e068-1553-0adebf345201