Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1990-04-03
- Stop
- 1990-04-03
The parties
- Patient
- patient Reynaldo Felton Labadie
- Provider
- provider Cristina Schmitt
- Care site
- care site DUE NORTH WELLNESS CENTER PLLC
- Payer
- payer No insurance
Record id
20faeff5-5a0e-7753-8cea-64ffe8c7738c