Claim total
$979.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1992-06-05
- Stop
- 1992-06-05
The parties
- Patient
- patient Eva Duran
- Provider
- provider Lyndsey Sipes
- Care site
- care site MORNINGSIDE FAMILY PHYSICIANS
- Payer
- payer No insurance
Record id
2a651a9e-ca88-4c92-b846-14efbe1a6d08