Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1985-11-06
- Stop
- 1985-11-06
The parties
- Patient
- patient Anisha Lyndsey Bernhard
- Provider
- provider Elbert Schaefer
- Payer
- payer No insurance
Record id
2fb35278-38d1-a5f4-4f9b-5cbde7689fa9