Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1981-04-02
- Stop
- 1981-04-02
The parties
- Patient
- patient Emery Herbert Steuber
- Provider
- provider Kathern Krajcik
- Care site
- care site FAMILY LINK SOCIAL SERVICES
- Payer
- payer No insurance
Record id
003012ce-f819-e17b-8abe-103e6a849c2d