Claim total
$910.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-12-14
- Stop
- 2010-12-14
The parties
- Patient
- patient Gonzalo Jc Stark
- Provider
- provider Janice Huel
Record id
35ecf519-d5db-5fe4-4b4a-48c9eb412d67