Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1983-11-27
- Stop
- 1983-11-27
The parties
- Patient
- patient Mickey Goldner
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer No insurance
Record id
39934531-f753-1291-f6ad-322a44b2aa4e