Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1967-07-25
- Stop
- 1967-07-26
The parties
- Patient
- patient Garfield Neal Schoen
- Provider
- provider Garrett Wisoky
- Care site
- care site ORKA HEALTH AND WELLNESS PLLC
- Payer
- payer No insurance
Record id
090961b1-ee11-feb5-d10c-c0075f44c4dd