Claim total
$707.48
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1992-01-16
- Stop
- 1992-01-16
The parties
- Patient
- patient Tracy Feest
- Provider
- provider Brandi Kessler
- Payer
- payer No insurance
Record id
00555634-6baa-e068-2927-47f42acfefa1