Claim total
$1,447.64
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-03-03
- Stop
- 1994-03-03
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
Record id
03563bad-3832-f030-2fa9-26a9e0a412a7