Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1995-12-13
- Stop
- 1995-12-13
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider David Klein
- Payer
- payer No insurance
Record id
0190d3b1-c50c-bf7b-b30f-39c9fa9e9a3c