Claim total
$838.28
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1984-02-10
- Stop
- 1984-02-10
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kim Lind
Record id
062f00f9-5db0-55c4-1f82-f087799c2781