Claim total
$836.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1966-02-05
- Stop
- 1966-02-05
The parties
- Patient
- patient Synthia Grady
- Provider
- provider Billie Abbott
- Care site
- care site ALLIANCE WELLNESS CENTER LLC
- Payer
- payer No insurance
Record id
33ff0b1a-8ac4-7085-3bcb-97aec46c6f8d