Claim total
$704.41
base $93.83 · payer covered $704.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1953-06-28
- Stop
- 1953-06-28
The parties
- Provider
- provider Mike Monahan
- Care site
- care site THE FAMILY PARTNERSHIP
Record id
20c013b0-a520-1f62-7ec9-e93634d0edc3