Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1990-07-03
- Stop
- 1990-07-03
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Jesse Turner
- Payer
- payer No insurance
Record id
00d351d5-8ef1-f44d-b280-45a74333af14