Claim total
$1,862.29
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-10-23
- Stop
- 2017-10-23
The parties
- Patient
- patient Sandy Salvador Will
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
Record id
05317da0-053c-0c68-1478-de4fc3061379