Claim total
$1,275.90
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-02-26
- Stop
- 2022-02-26
The parties
- Patient
- patient Tomas Josh Larson
- Provider
- provider Carl Kling
- Payer
- payer No insurance
Record id
2f6a8fd0-a41d-4cac-9f7b-a7a5210205f6