Claim total
$906.71
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1979-02-03
- Stop
- 1979-02-03
The parties
- Patient
- patient Gregg Thanh Casper
- Provider
- provider Michel Halvorson
- Care site
- care site WRIGHT MEDICAL CARE PLLC
- Payer
- payer No insurance
Record id
0f8a82e6-c6ea-0ec7-f2c8-fe5861dfb7c6