Claim total
$1,023.99
base $93.83 · payer covered $636.78
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-07-04
- Stop
- 2021-07-04
The parties
- Patient
- patient Avril Vernie Lubowitz
- Provider
- provider Anneliese Bradtke
Record id
18a5f139-7161-e92c-0159-47ffe45f0d3e