Claim total
$711.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1994-05-04
- Stop
- 1994-05-04
The parties
- Patient
- patient Len Hunter Schneider
- Provider
- provider Matt Shanahan
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer No insurance
Record id
31182b1e-4f85-2b24-75de-3286bd8ee8f5