Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1946-07-15
- Stop
- 1946-07-15
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Sherly Hodkiewicz
- Payer
- payer No insurance
Record id
01a64b50-bd68-5ef7-a573-d4795c62acb1