Claim total
$1,251.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2012-04-01
- Stop
- 2012-04-02
The parties
- Patient
- patient Vernetta Suzy Dooley
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
Record id
0baf4deb-667c-bea4-2b8a-8977498fddd7