Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-12-05
- Stop
- 2021-12-05
The parties
- Patient
- patient Lyman Rico Senger
- Provider
- provider Barton Eichmann
Record id
25b18ca7-96da-2a4f-f348-105a9107f03d