Claim total
$1,172.62
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2004-04-21
- Stop
- 2004-04-21
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Armand McLaughlin
- Payer
- payer No insurance
Record id
0291d14d-46f7-a76b-e857-e04fd861242c