Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1979-03-23
- Stop
- 1979-03-23
The parties
- Patient
- patient Dina Lolita Schaefer
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
Record id
13377e52-60c9-b8ee-81ef-cede5e8f6bc8