Claim total
$985.80
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1982-03-09
- Stop
- 1982-03-09
The parties
- Patient
- patient Marlena McKenzie
- Provider
- provider Pearly Rohan
- Payer
- payer No insurance
Record id
088a3bac-a63f-7d95-149b-82aad50aa440