Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1968-11-04
- Stop
- 1968-11-04
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Danica Stracke
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer No insurance
Record id
013d575b-4a77-458a-c7d8-efe4ff8b29eb