Claim total
$767.69
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1989-11-02
- Stop
- 1989-11-02
The parties
- Patient
- patient Joaquin Emanuel Kirlin
- Provider
- provider Kim Lind
- Payer
- payer No insurance
Record id
32091c08-6caf-6177-f6c0-5957e8e29ec2