Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1952-07-20
- Stop
- 1952-07-20
The parties
- Patient
- patient Son Deandre Schinner
- Provider
- provider Janice Huel
- Payer
- payer No insurance
Record id
1663a2c5-33f2-08b5-d38f-fdf41cb1bf4a