Claim total
$1,168.24
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1979-01-05
- Stop
- 1979-01-06
The parties
- Patient
- patient Jeffry Labadie
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
Record id
19aec687-b7f8-9eb6-a31b-87ff1f81b7c0