Claim total
$505.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1936-10-22
- Stop
- 1936-10-22
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Ronnie Gleason
- Payer
- payer No insurance
Record id
04f53306-ad14-544b-7a29-d27d9b01e868