Claim total
$435.48
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1990-12-13
- Stop
- 1990-12-13
The parties
- Patient
- patient Tracy Feest
- Provider
- provider Brandi Kessler
- Payer
- payer No insurance
Record id
00555634-6baa-e068-d4a3-1032437204a9