Claim total
$1,228.63
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1957-07-18
- Stop
- 1957-07-18
The parties
- Provider
- provider Nikia Mills
- Payer
- payer No insurance
Record id
1f156774-6ac9-1ef9-e6dc-ded5257bb9c6