Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1991-03-15
- Stop
- 1991-03-16
The parties
- Patient
- patient Mikel Haley
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer No insurance
Record id
0ee3c261-2c44-fbca-acb8-5fbc9743ac82