Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-06-11
- Stop
- 2017-06-12
The parties
- Patient
- patient Blake Carol Macejkovic
- Provider
- provider Wesley Nader
Record id
1c6a1b68-54fa-90b5-1b5a-8b6fa89b8fe1