Claim total
$1,371.56
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2012-05-15
- Stop
- 2012-05-15
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Jesse Turner
- Payer
- payer No insurance
Record id
00d351d5-8ef1-f44d-0475-28af05b5c6f1