Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1993-03-31
- Stop
- 1993-03-31
The parties
- Patient
- patient Jaquelyn Lavina Mueller
- Provider
- provider Derick Feil
- Care site
- care site SENTIENT HEALTHCARE, INC.
- Payer
- payer No insurance
Record id
1a7de96a-49f9-9668-8453-d0990c5c6cc3