Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1987-10-27
- Stop
- 1987-10-27
The parties
- Patient
- patient Korey Lester Williamson
- Provider
- provider Rocco Wehner
- Payer
- payer No insurance
Record id
02695016-2813-6239-19c1-1932b9db3c5c