Claim total
$840.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-02-12
- Stop
- 2001-02-12
The parties
- Patient
- patient Tu Denna Price
- Provider
- provider Shenna Metz
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer No insurance
Record id
32312fb3-1780-4d1a-6c71-f0a31dcb30e9