Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1972-09-08
- Stop
- 1972-09-08
The parties
- Patient
- patient Sherman Eli Wehner
- Provider
- provider Lovie Turcotte
- Payer
- payer No insurance
Record id
3afc00a4-39f9-07a4-7392-e5dffbdb8b35