Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1963-04-05
- Stop
- 1963-04-05
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
Record id
062f00f9-5db0-55c4-4bed-37fc96fff2eb