Claim total
$985.80
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-01-25
- Stop
- 2001-01-25
The parties
- Patient
- patient Shelton Martin Homenick
- Provider
- provider Mike Monahan
- Care site
- care site THE FAMILY PARTNERSHIP
- Payer
- payer No insurance
Record id
0febc937-b8c3-3b2e-1c0b-d8b5a4b1f4ce