Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1952-10-04
- Stop
- 1952-10-04
The parties
- Patient
- patient Jonathon Elroy Borer
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer No insurance
Record id
13917145-8746-415a-f9ec-a9227649ef2a