Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1987-12-17
- Stop
- 1987-12-17
The parties
- Patient
- patient Genoveva Heather Farrell
- Provider
- provider Julene Lemke
- Payer
- payer No insurance
Record id
322d77d5-492b-5e05-2aa4-a08259f13801