Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-10-06
- Stop
- 2014-10-06
The parties
- Patient
- patient Sandy Salvador Will
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
Record id
05317da0-053c-0c68-6208-9d4b2d8e9d7e