Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1990-04-11
- Stop
- 1990-04-11
The parties
- Patient
- patient Len Hunter Schneider
- Provider
- provider Danica Stracke
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer No insurance
Record id
31182b1e-4f85-2b24-9d1d-a323f3c415c6