Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1998-03-20
- Stop
- 1998-03-20
The parties
- Patient
- patient Danae Ofelia Walsh
- Provider
- provider Kenny Walker
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer No insurance
Record id
3764723b-d871-6d97-742a-60888f283ac4