Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2005-02-08
- Stop
- 2005-02-08
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-7753-8fce-8db4199678e6