Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2012-02-10
- Stop
- 2012-02-10
The parties
- Patient
- patient Alberto Bogisich
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
Record id
0b021865-9b35-acd2-55a0-fb2d2db4cd32