Claim total
$775.00
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1971-05-09
- Stop
- 1971-05-09
The parties
- Patient
- patient Son Deandre Schinner
- Provider
- provider Kim Lind
- Payer
- payer No insurance
Record id
1663a2c5-33f2-08b5-159c-f541e3216aa4