Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-07-01
- Stop
- 2001-07-01
The parties
- Patient
- patient Cherelle Morar
- Provider
- provider Kristofer Hettinger
- Care site
- care site ALLIANCE WELLNESS CENTER LLC
- Payer
- payer No insurance
Record id
33009975-b2c5-da4c-2577-376249e7b98f