Claim total
$894.25
base $93.83 · payer covered $625.99
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-03-27
- Stop
- 2019-03-27
The parties
- Patient
- patient Christel Torp
- Provider
- provider Guillermo Granado
- Care site
- care site DAKOTA MEDICAL CLINIC, PA
Record id
00edd987-99b7-13d9-6502-daf3f8e218c4