Claim total
$1,185.08
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-03-11
- Stop
- 2006-03-11
The parties
- Patient
- patient Soledad Sabina Stanton
- Provider
- provider Elbert Schaefer
- Payer
- payer No insurance
Record id
1a03711e-49e9-4b79-cc5f-674a85388b87