Claim total
$973.34
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1997-11-11
- Stop
- 1997-11-11
The parties
- Patient
- patient Korey Lester Williamson
- Provider
- provider Rocco Wehner
- Payer
- payer No insurance
Record id
02695016-2813-6239-fa5f-c8721dd86be8