Claim total
$1,115.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1997-08-31
- Stop
- 1997-08-31
The parties
- Patient
- patient Nia Melia Hand
- Provider
- provider Albert Blanda
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer No insurance
Record id
0dee4bff-44c0-1fc6-3c1c-ea01d49bc228