Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2006-09-21
- Stop
- 2006-09-21
The parties
- Patient
- patient June Christiansen
- Provider
- provider Nikia Mills
- Payer
- payer No insurance
Record id
3a698cd1-c3be-fc3a-bc4e-a1c0c67b21d8