Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1961-08-16
- Stop
- 1961-08-16
The parties
- Patient
- patient Jody Shoshana Powlowski
- Provider
- provider Douglas Will
- Payer
- payer No insurance
Record id
226e0527-4c40-2548-5259-bd873bd39a5d