Claim total
$1,185.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1996-12-09
- Stop
- 1996-12-09
The parties
- Patient
- patient Kanesha Spring Cummerata
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer No insurance
Record id
0d968006-46f3-aae8-922b-6290415a9054