Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-01-31
- Stop
- 2025-01-31
The parties
- Patient
- patient Nikole Ronald Crona
- Provider
- provider Jesse Turner
- Payer
- payer No insurance
Record id
0205d624-3e5e-6b66-dd78-4d9e44e88710