Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1971-11-11
- Stop
- 1971-11-12
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Vanda Lebsack
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer No insurance
Record id
059a4886-0567-3ca6-cf03-8a84cd101263