Claim total
$1,029.70
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1999-01-05
- Stop
- 1999-01-05
The parties
- Patient
- patient Beula Barrows
- Provider
- provider Trent Kozey
- Payer
- payer No insurance
Record id
368b436b-071f-f268-9d96-c365c8c8a3e5