Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1953-07-01
- Stop
- 1953-07-01
The parties
- Patient
- patient Jody Shoshana Powlowski
- Provider
- provider Ronnie Gleason
- Payer
- payer No insurance
Record id
226e0527-4c40-2548-e06e-9c3cbb4c3072