Claim total
$1,009.44
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1997-03-12
- Stop
- 1997-03-12
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Ruben Farrell
- Payer
- payer No insurance
Record id
0291d14d-46f7-a76b-e5ee-1507d34f9020